Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $3,467.37 / $7,762.47	Facility		$489.78	$3,467.37	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $331.13 / $794.33	Professional		$263.03	$331.13	$794.33
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 $251.19 / $295.12 / $562.34	Professional		$251.19	$295.12	$562.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,698.24 / $6,165.95	Facility		$389.05	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $5,011.87	Facility		$478.63	$478.63	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $467.74 / $1,000.00	Professional		$269.15	$467.74	$1,000.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $407.38 / $977.24	Facility		$295.12	$407.38	$977.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $575.44	Professional		$288.40	$363.08	$575.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $575.44	Professional		$239.88	$346.74	$575.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $50,118.72 / $75,857.76	Facility		$346.74	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $724.44	Professional		$338.84	$398.11	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,897.79 / $12,882.50	Facility		$2,137.96	$4,897.79	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $691.83	Professional		$208.93	$309.03	$691.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $331.13 / $1,380.38	Facility		$223.87	$331.13	$1,380.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $741.31	Professional		$223.87	$331.13	$741.31