Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,884.03 / $7,413.10	Facility		$524.81	$2,884.03	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $1,122.02	Professional		$371.54	$457.09	$1,122.02
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 $338.84 / $426.58 / $1,071.52	Professional		$338.84	$426.58	$1,071.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,258.93 / $4,073.80	Facility		$562.34	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $616.60	Professional		$562.34	$562.34	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $50,118.72	Facility		$676.08	$676.08	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $1,659.59	Professional		$407.38	$616.60	$1,659.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $501.19 / $1,513.56	Facility		$416.87	$501.19	$1,513.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,122.02	Professional		$562.34	$776.25	$1,122.02
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 $346.74 / $562.34 / $933.25	Professional		$346.74	$562.34	$933.25
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 / $575.44 / $1,202.26	Professional		$398.11	$575.44	$1,202.26
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 $346.74 / $512.86 / $1,258.93	Professional		$346.74	$512.86	$1,258.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $489.78 / $1,621.81	Facility		$331.13	$489.78	$1,621.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $1,202.26	Professional		$363.08	$537.03	$1,202.26