Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $3,162.28 / $8,912.51	Facility		$446.68	$3,162.28	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $457.09 / $1,202.26	Professional		$281.84	$457.09	$1,202.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $1,148.15	Professional		$380.19	$478.63	$1,148.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,698.24 / $6,165.95	Facility		$457.09	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $741.31	Professional		$457.09	$457.09	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,659.59 / $50,118.72	Facility		$562.34	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $602.56 / $1,258.93	Professional		$269.15	$602.56	$1,258.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $389.05 / $933.25	Facility		$234.42	$389.05	$933.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $794.33 / $1,318.26	Professional		$691.83	$794.33	$1,318.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $954.99	Professional		$371.54	$562.34	$954.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $50,118.72 / $75,857.76	Facility		$302.00	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $776.25	Professional		$398.11	$602.56	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $9,549.93	Facility		$2,041.74	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $416.87 / $933.25	Professional		$223.87	$416.87	$933.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $354.81 / $954.99	Facility		$269.15	$354.81	$954.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $1,096.48	Professional		$371.54	$602.56	$1,096.48