Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,981.07 / $12,022.64	Facility		$645.65	$3,981.07	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $501.19 / $1,202.26	Professional		$426.58	$501.19	$1,202.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,888.44 / $12,302.69	Facility		$3,311.31	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $891.25	Professional		$371.54	$446.68	$891.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $10,964.78	Facility		$660.69	$660.69	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $5,248.07 / $25,118.86	Facility		$794.33	$5,248.07	$25,118.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $660.69 / $1,698.24	Professional		$380.19	$660.69	$1,698.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $1,819.70	Facility		$467.74	$562.34	$1,819.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $1,071.52	Professional		$524.81	$676.08	$1,071.52
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $602.56 / $977.24	Professional		$346.74	$602.56	$977.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $50,118.72 / $75,857.76	Facility		$436.52	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $676.08 / $1,258.93	Professional		$562.34	$676.08	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,943.28 / $38,904.51	Facility		$2,137.96	$7,943.28	$38,904.51
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $1,174.90	Professional		$354.81	$501.19	$1,174.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $549.54 / $1,348.96	Facility		$380.19	$549.54	$1,348.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $1,174.90	Professional		$380.19	$549.54	$1,174.90