Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,162.28 / $10,964.78	Facility		$870.96	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,621.81	Professional		$588.84	$741.31	$1,621.81
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 $549.54 / $707.95 / $1,698.24	Professional		$549.54	$707.95	$1,698.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $37,153.52	Facility		$912.01	$912.01	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $977.24 / $50,118.72	Facility		$34.67	$977.24	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,023.29 / $2,754.23	Professional		$630.96	$1,023.29	$2,754.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $831.76 / $2,089.30	Facility		$645.65	$831.76	$2,089.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,258.93	Professional		$616.60	$831.76	$1,258.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $741.31 / $1,202.26	Professional		$512.86	$741.31	$1,202.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $50,118.72 / $75,857.76	Facility		$741.31	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $851.14 / $1,412.54	Professional		$398.11	$851.14	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,456.54 / $16,595.87	Facility		$2,454.71	$6,456.54	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $1,995.26	Professional		$562.34	$812.83	$1,995.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $676.08 / $3,311.31	Facility		$457.09	$676.08	$3,311.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,778.28	Professional		$512.86	$707.95	$1,778.28