Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $3,090.30 / $7,762.47	Facility		$446.68	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $891.25	Professional		$281.84	$426.58	$891.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,762.47 / $13,803.84	Facility		$3,890.45	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $831.76	Professional		$323.59	$380.19	$831.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,698.24 / $6,165.95	Facility		$407.38	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $630.96	Professional		$407.38	$407.38	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,412.54 / $7,762.47	Facility		$489.78	$1,412.54	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $575.44 / $1,258.93	Professional		$316.23	$575.44	$1,258.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $398.11 / $1,023.29	Facility		$281.84	$398.11	$1,023.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $616.60 / $977.24	Professional		$501.19	$616.60	$977.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $575.44 / $912.01	Professional		$338.84	$575.44	$912.01
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 / $575.44 / $1,000.00	Professional		$398.11	$575.44	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,495.41 / $13,803.84	Facility		$2,238.72	$5,495.41	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $933.25	Professional		$251.19	$398.11	$933.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $346.74 / $1,148.15	Facility		$234.42	$346.74	$1,148.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $1,023.29	Professional		$346.74	$549.54	$1,023.29