Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $3,548.13 / $8,511.38	Facility		$537.03	$3,548.13	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $1,071.52	Professional		$338.84	$416.87	$1,071.52
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 $288.40 / $363.08 / $912.01	Professional		$288.40	$363.08	$912.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,698.24 / $6,165.95	Facility		$524.81	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $50,118.72	Facility		$630.96	$630.96	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $1,698.24	Professional		$371.54	$588.84	$1,698.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $398.11 / $977.24	Facility		$34.67	$398.11	$977.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $575.44 / $831.76	Professional		$426.58	$575.44	$831.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $794.33	Professional		$316.23	$489.78	$794.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $50,118.72 / $75,857.76	Facility		$436.52	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $1,023.29	Professional		$398.11	$478.63	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,265.80 / $9,549.93	Facility		$2,041.74	$4,265.80	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $457.09 / $1,071.52	Professional		$309.03	$457.09	$1,071.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $446.68 / $1,862.09	Facility		$309.03	$446.68	$1,862.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $457.09 / $933.25	Professional		$309.03	$457.09	$933.25