Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,951.21 / $7,762.47	Facility		$457.09	$2,951.21	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $912.01	Professional		$309.03	$389.05	$912.01
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 $275.42 / $346.74 / $891.25	Professional		$275.42	$346.74	$891.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,258.93 / $4,073.80	Facility		$478.63	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $512.86	Professional		$478.63	$478.63	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $50,118.72	Facility		$575.44	$575.44	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $1,412.54	Professional		$346.74	$512.86	$1,412.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $1,288.25	Facility		$316.23	$426.58	$1,288.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $933.25	Professional		$478.63	$645.65	$933.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $489.78 / $776.25	Professional		$288.40	$489.78	$776.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $50,118.72 / $75,857.76	Facility		$331.13	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $1,000.00	Professional		$398.11	$489.78	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,467.37 / $6,165.95	Facility		$1,621.81	$3,467.37	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $436.52 / $1,071.52	Professional		$295.12	$436.52	$1,071.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $416.87 / $1,412.54	Facility		$281.84	$416.87	$1,412.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $1,000.00	Professional		$302.00	$467.74	$1,000.00