Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $4,265.80 / $10,000.00	Facility		$562.34	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $1,096.48	Professional		$354.81	$457.09	$1,096.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $9,549.93	Facility		$2,630.27	$4,786.30	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $1,000.00	Professional		$331.13	$416.87	$1,000.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,995.26 / $8,912.51	Facility		$575.44	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $50,118.72	Facility		$691.83	$691.83	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $1,698.24	Professional		$398.11	$602.56	$1,698.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $575.44 / $1,548.82	Facility		$436.52	$575.44	$1,548.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $933.25	Professional		$467.74	$630.96	$933.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $870.96	Professional		$346.74	$549.54	$870.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $50,118.72 / $75,857.76	Facility		$602.56	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $1,122.02	Professional		$398.11	$549.54	$1,122.02
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 $346.74 / $489.78 / $1,230.27	Professional		$346.74	$489.78	$1,230.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $489.78 / $1,659.59	Facility		$338.84	$489.78	$1,659.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $1,122.02	Professional		$338.84	$501.19	$1,122.02