Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $3,981.07 / $11,481.54	Facility		$512.86	$3,981.07	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,071.52 / $2,511.89	Professional		$331.13	$1,071.52	$2,511.89
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 $1,096.48 / $1,445.44 / $3,388.44	Professional		$1,096.48	$1,445.44	$3,388.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,995.26 / $8,912.51	Facility		$467.74	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $2,238.72	Professional		$467.74	$467.74	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,862.09 / $50,118.72	Facility		$562.34	$1,862.09	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $1,148.15 / $3,548.13	Professional		$295.12	$1,148.15	$3,548.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $436.52 / $1,258.93	Facility		$346.74	$436.52	$1,258.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $3,311.31	Professional		$1,698.24	$2,398.83	$3,311.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,621.81 / $2,630.27	Professional		$977.24	$1,621.81	$2,630.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $50,118.72 / $75,857.76	Facility		$489.78	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $2,238.72	Professional		$1,584.89	$1,995.26	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,128.61 / $11,481.54	Facility		$2,398.83	$5,128.61	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,288.25 / $2,951.21	Professional		$338.84	$1,288.25	$2,951.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $416.87 / $1,174.90	Facility		$269.15	$416.87	$1,174.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,412.54 / $2,951.21	Professional		$891.25	$1,412.54	$2,951.21