Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $5,370.32 / $10,964.78	Facility		$1,819.70	$5,370.32	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $97.72 / $112.20	Professional		$52.48	$97.72	$112.20
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 $75.86 / $93.33 / $194.98	Professional		$75.86	$93.33	$194.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $4,073.80	Facility		$134.90	$134.90	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $50,118.72	Facility		$177.83	$177.83	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $245.47	Professional		$83.18	$141.25	$245.47
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 $77.62 / $123.03 / $281.84	Professional		$77.62	$123.03	$281.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $100.00 / $100.00	Facility		$79.43	$100.00	$100.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $100.00 / $218.78	Professional		$93.33	$100.00	$218.78