Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,162.28 / $10,964.78	Facility		$575.44	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $1,071.52	Professional		$398.11	$489.78	$1,071.52
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 $323.59 / $380.19 / $851.14	Professional		$323.59	$380.19	$851.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $37,153.52	Facility		$602.56	$602.56	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $741.31 / $7,762.47	Facility		$34.67	$741.31	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $660.69 / $1,621.81	Professional		$398.11	$660.69	$1,621.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $501.19 / $1,318.26	Facility		$323.59	$501.19	$1,318.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $977.24	Professional		$467.74	$616.60	$977.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $891.25	Professional		$346.74	$549.54	$891.25
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 $398.11 / $588.84 / $1,047.13	Professional		$398.11	$588.84	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,630.78 / $8,128.31	Facility		$1,318.26	$3,630.78	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $1,096.48	Professional		$331.13	$478.63	$1,096.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $512.86 / $1,412.54	Facility		$346.74	$512.86	$1,412.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $1,071.52	Professional		$346.74	$512.86	$1,071.52