Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,981.07 / $10,964.78	Facility		$1,621.81	$3,981.07	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $758.58 / $1,047.13	Professional		$295.12	$758.58	$1,047.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,481.54 / $18,620.87	Facility		$4,786.30	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $812.83	Professional		$346.74	$426.58	$812.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $37,153.52	Facility		$588.84	$588.84	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $50,118.72	Facility		$954.99	$954.99	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $724.44 / $1,621.81	Facility		$416.87	$724.44	$1,621.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $977.24	Professional		$478.63	$660.69	$977.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $954.99	Professional		$346.74	$549.54	$954.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,754.23 / $4,897.79	Facility		$1,258.93	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $1,148.15	Professional		$331.13	$478.63	$1,148.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $371.54 / $489.78	Facility		$331.13	$371.54	$489.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $1,023.29	Professional		$331.13	$512.86	$1,023.29