Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,090.30 / $7,762.47	Facility		$407.38	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $891.25	Professional		$295.12	$389.05	$891.25
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 $316.23 / $398.11 / $870.96	Professional		$316.23	$398.11	$870.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,698.24 / $6,165.95	Facility		$416.87	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $467.74	Professional		$416.87	$416.87	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $50,118.72	Facility		$562.34	$562.34	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $1,348.96	Professional		$323.59	$501.19	$1,348.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $512.86 / $1,288.25	Facility		$354.81	$512.86	$1,288.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $954.99	Professional		$478.63	$660.69	$954.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $478.63 / $794.33	Professional		$263.03	$478.63	$794.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $50,118.72 / $75,857.76	Facility		$309.03	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $1,047.13	Professional		$398.11	$489.78	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,890.45 / $8,317.64	Facility		$1,819.70	$3,890.45	$8,317.64
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 $275.42 / $407.38 / $1,348.96	Facility		$275.42	$407.38	$1,348.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $1,023.29	Professional		$295.12	$457.09	$1,023.29