Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $2,951.21 / $7,585.78	Facility		$257.04	$2,951.21	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $288.40 / $602.56	Professional		$158.49	$288.40	$602.56
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 $229.09 / $288.40 / $724.44	Professional		$229.09	$288.40	$724.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,258.93 / $4,073.80	Facility		$239.88	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $446.68	Professional		$239.88	$239.88	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $50,118.72	Facility		$288.40	$288.40	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $380.19 / $1,023.29	Professional		$186.21	$380.19	$1,023.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $204.17 / $549.54	Facility		$134.90	$204.17	$549.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $776.25	Professional		$398.11	$537.03	$776.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $398.11 / $660.69	Professional		$213.80	$398.11	$660.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $50,118.72 / $75,857.76	Facility		$154.88	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $416.87 / $851.14	Professional		$363.08	$416.87	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $8,317.64	Facility		$1,819.70	$3,981.07	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $288.40 / $741.31	Professional		$158.49	$288.40	$741.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $204.17 / $691.83	Facility		$138.04	$204.17	$691.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $371.54 / $660.69	Professional		$223.87	$371.54	$660.69