Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $3,090.30 / $7,762.47	Facility		$524.81	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $389.05 / $933.25	Professional		$316.23	$389.05	$933.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,000.00	Facility		$2,630.27	$4,786.30	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $851.14	Professional		$302.00	$371.54	$851.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $4,073.80	Facility		$489.78	$489.78	$4,073.80
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 $34.67 / $602.56 / $50,118.72	Facility		$34.67	$602.56	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $1,445.44	Professional		$338.84	$501.19	$1,445.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $489.78 / $1,412.54	Facility		$398.11	$489.78	$1,412.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $831.76	Professional		$426.58	$588.84	$831.76
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 $275.42 / $478.63 / $776.25	Professional		$275.42	$478.63	$776.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $50,118.72 / $75,857.76	Facility		$323.59	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $457.09 / $1,000.00	Professional		$398.11	$457.09	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,754.23 / $4,897.79	Facility		$1,258.93	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $1,047.13	Professional		$288.40	$416.87	$1,047.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $436.52 / $1,318.26	Facility		$295.12	$436.52	$1,318.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $436.52 / $933.25	Professional		$295.12	$436.52	$933.25