Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $3,090.30 / $7,762.47	Facility		$512.86	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $1,122.02	Professional		$346.74	$489.78	$1,122.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,000.00	Facility		$2,630.27	$4,786.30	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $1,122.02	Professional		$338.84	$446.68	$1,122.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,698.24 / $6,165.95	Facility		$489.78	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $691.83	Professional		$489.78	$489.78	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,659.59 / $50,118.72	Facility		$588.84	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $588.84 / $1,288.25	Professional		$338.84	$588.84	$1,288.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $457.09 / $1,230.27	Facility		$338.84	$457.09	$1,230.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $707.95 / $1,148.15	Professional		$588.84	$707.95	$1,148.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $912.01	Professional		$398.11	$588.84	$912.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $50,118.72 / $75,857.76	Facility		$363.08	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $724.44	Professional		$398.11	$575.44	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $9,549.93	Facility		$2,041.74	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $446.68 / $954.99	Professional		$281.84	$446.68	$954.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $416.87 / $1,412.54	Facility		$288.40	$416.87	$1,412.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $645.65 / $1,258.93	Professional		$398.11	$645.65	$1,258.93