Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $3,548.13 / $8,511.38	Facility		$489.78	$3,548.13	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $407.38 / $1,047.13	Professional		$323.59	$407.38	$1,047.13
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 $269.15 / $346.74 / $870.96	Professional		$269.15	$346.74	$870.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,698.24 / $6,165.95	Facility		$489.78	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $50,118.72	Facility		$602.56	$602.56	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $1,584.89	Professional		$354.81	$537.03	$1,584.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $630.96 / $1,348.96	Facility		$389.05	$630.96	$1,348.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $794.33	Professional		$398.11	$549.54	$794.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $758.58	Professional		$302.00	$467.74	$758.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $50,118.72 / $75,857.76	Facility		$371.54	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $977.24	Professional		$398.11	$467.74	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $9,549.93	Facility		$2,041.74	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $1,047.13	Professional		$309.03	$436.52	$1,047.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $426.58 / $1,698.24	Facility		$288.40	$426.58	$1,698.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $1,071.52	Professional		$288.40	$426.58	$1,071.52