Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $5,248.07 / $10,964.78	Facility		$1,819.70	$5,248.07	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $194.98 / $302.00	Professional		$91.20	$194.98	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $436.52	Professional		$151.36	$186.21	$436.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $4,073.80	Facility		$269.15	$269.15	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $50,118.72	Facility		$354.81	$354.81	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $977.24 / $977.24	Professional		$257.04	$977.24	$977.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $363.08 / $831.76	Facility		$218.78	$363.08	$831.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $302.00 / $467.74	Professional		$134.90	$302.00	$467.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $478.63	Professional		$162.18	$269.15	$478.63
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 $1,621.81 / $3,311.31 / $6,165.95	Facility		$1,621.81	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $251.19 / $575.44	Professional		$154.88	$251.19	$575.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $194.98 / $194.98	Facility		$154.88	$194.98	$194.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $194.98 / $416.87	Professional		$181.97	$194.98	$416.87