Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $2,818.38 / $9,332.54	Facility		$288.40	$2,818.38	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $446.68 / $1,096.48	Professional		$194.98	$446.68	$1,096.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $436.52 / $1,174.90	Professional		$354.81	$436.52	$1,174.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $8,912.51	Facility		$295.12	$295.12	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $851.14	Professional		$295.12	$295.12	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $354.81 / $50,118.72	Facility		$34.67	$354.81	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $562.34 / $1,621.81	Professional		$223.87	$562.34	$1,621.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $245.47 / $741.31	Facility		$181.97	$245.47	$741.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,445.44	Professional		$724.44	$1,000.00	$1,445.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $707.95 / $1,202.26	Professional		$389.05	$707.95	$1,202.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $50,118.72 / $75,857.76	Facility		$208.93	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $645.65 / $1,148.15	Professional		$398.11	$645.65	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $8,317.64	Facility		$1,819.70	$3,981.07	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $436.52 / $1,071.52	Professional		$199.53	$436.52	$1,071.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $245.47 / $933.25	Facility		$169.82	$245.47	$933.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $645.65 / $1,174.90	Professional		$389.05	$645.65	$1,174.90