Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $4,265.80 / $10,471.29	Facility		$954.99	$4,265.80	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $1,778.28	Professional		$616.60	$741.31	$1,778.28
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 $575.44 / $724.44 / $1,778.28	Professional		$575.44	$724.44	$1,778.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,995.26 / $8,912.51	Facility		$977.24	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $50,118.72	Facility		$1,174.90	$1,174.90	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,000.00 / $2,884.03	Professional		$616.60	$1,000.00	$2,884.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $758.58 / $1,698.24	Facility		$389.05	$758.58	$1,698.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,479.11	Professional		$741.31	$1,023.29	$1,479.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $891.25 / $1,479.11	Professional		$562.34	$891.25	$1,479.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $50,118.72 / $75,857.76	Facility		$446.68	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $933.25 / $1,862.09	Professional		$398.11	$933.25	$1,862.09
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 $512.86 / $831.76 / $2,089.30	Professional		$512.86	$831.76	$2,089.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $831.76 / $1,949.84	Facility		$575.44	$831.76	$1,949.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $1,778.28	Professional		$575.44	$831.76	$1,778.28