Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $3,090.30 / $7,585.78	Facility		$389.05	$3,090.30	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $616.60	Professional		$213.80	$269.15	$616.60
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 $186.21 / $218.78 / $416.87	Professional		$186.21	$218.78	$416.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $4,073.80	Facility		$323.59	$323.59	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $389.05 / $7,079.46	Facility		$34.67	$389.05	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $371.54 / $870.96	Professional		$218.78	$371.54	$870.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $275.42 / $776.25	Facility		$194.98	$275.42	$776.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $281.84 / $446.68	Professional		$234.42	$281.84	$446.68
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $478.63	Professional		$194.98	$309.03	$478.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $50,118.72 / $75,857.76	Facility		$213.80	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $588.84	Professional		$269.15	$323.59	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,630.78 / $8,128.31	Facility		$1,698.24	$3,630.78	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $562.34	Professional		$173.78	$251.19	$562.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $251.19 / $302.00	Facility		$173.78	$251.19	$302.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $537.03	Professional		$186.21	$288.40	$537.03