Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $5,128.61 / $13,489.63	Facility		$741.31	$5,128.61	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $1,584.89	Professional		$489.78	$676.08	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $19,498.45	Facility		$3,981.07	$7,762.47	$19,498.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $1,659.59	Professional		$562.34	$691.83	$1,659.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,467.37 / $13,489.63	Facility		$741.31	$3,467.37	$13,489.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $977.24	Professional		$741.31	$741.31	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $50,118.72	Facility		$831.76	$831.76	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $891.25 / $2,290.87	Professional		$537.03	$891.25	$2,290.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $676.08 / $1,905.46	Facility		$524.81	$676.08	$1,905.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,659.59	Professional		$831.76	$1,148.15	$1,659.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $851.14 / $1,380.38	Professional		$537.03	$851.14	$1,380.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $50,118.72 / $75,857.76	Facility		$524.81	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $870.96 / $1,778.28	Professional		$398.11	$870.96	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $10,964.78	Facility		$2,041.74	$4,365.16	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $1,819.70	Professional		$467.74	$724.44	$1,819.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $602.56 / $1,995.26	Facility		$416.87	$602.56	$1,995.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $1,548.82	Professional		$537.03	$794.33	$1,548.82