Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $3,801.89 / $9,120.11	Facility		$512.86	$3,801.89	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $389.05 / $977.24	Professional		$316.23	$389.05	$977.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,481.54 / $18,620.87	Facility		$4,786.30	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $831.76	Professional		$251.19	$316.23	$831.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,698.24 / $6,165.95	Facility		$512.86	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $50,118.72	Facility		$616.60	$616.60	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $1,445.44	Professional		$338.84	$489.78	$1,445.44
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 $446.68 / $616.60 / $891.25	Professional		$446.68	$616.60	$891.25
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 / $489.78 / $794.33	Professional		$263.03	$489.78	$794.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $50,118.72 / $75,857.76	Facility		$295.12	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $457.09 / $1,023.29	Professional		$398.11	$457.09	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $11,220.18	Facility		$2,041.74	$4,365.16	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $1,071.52	Professional		$288.40	$416.87	$1,071.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $446.68 / $1,258.93	Facility		$309.03	$446.68	$1,258.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $1,023.29	Professional		$295.12	$446.68	$1,023.29