Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $2,818.38 / $7,762.47	Facility		$380.19	$2,818.38	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $416.87 / $870.96	Professional		$234.42	$416.87	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $1,071.52	Professional		$331.13	$407.38	$1,071.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,258.93 / $4,073.80	Facility		$346.74	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $645.65	Professional		$346.74	$346.74	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $50,118.72	Facility		$416.87	$416.87	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $537.03 / $1,445.44	Professional		$257.04	$537.03	$1,445.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $269.15 / $758.58	Facility		$181.97	$269.15	$758.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,000.00	Professional		$512.86	$724.44	$1,000.00
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 $371.54 / $549.54 / $933.25	Professional		$371.54	$549.54	$933.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $50,118.72 / $75,857.76	Facility		$371.54	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,174.90	Professional		$512.86	$724.44	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,311.31 / $6,165.95	Facility		$1,621.81	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $446.68 / $1,071.52	Professional		$223.87	$446.68	$1,071.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $281.84 / $1,096.48	Facility		$199.53	$281.84	$1,096.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $1,047.13	Professional		$354.81	$524.81	$1,047.13