Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $5,011.87 / $11,481.54	Facility		$851.14	$5,011.87	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $1,288.25	Professional		$407.38	$524.81	$1,288.25
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 $346.74 / $436.52 / $1,174.90	Professional		$346.74	$436.52	$1,174.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $37,153.52	Facility		$630.96	$630.96	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $758.58 / $50,118.72	Facility		$34.67	$758.58	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $707.95 / $1,949.84	Professional		$457.09	$707.95	$1,949.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $524.81 / $1,258.93	Facility		$251.19	$524.81	$1,258.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,071.52	Professional		$537.03	$741.31	$1,071.52
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $954.99	Professional		$398.11	$588.84	$954.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $50,118.72 / $75,857.76	Facility		$489.78	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $977.24	Professional		$398.11	$588.84	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $13,489.63	Facility		$2,398.83	$5,888.44	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $1,412.54	Professional		$398.11	$562.34	$1,412.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $537.03 / $2,089.30	Facility		$363.08	$537.03	$2,089.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $1,380.38	Professional		$363.08	$549.54	$1,380.38