Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,801.89 / $10,232.93	Facility		$707.95	$3,801.89	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $1,380.38	Professional		$407.38	$524.81	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $1,148.15	Professional		$338.84	$436.52	$1,148.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,698.24 / $6,165.95	Facility		$645.65	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $50,118.72	Facility		$758.58	$758.58	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $707.95 / $2,089.30	Professional		$446.68	$707.95	$2,089.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $831.76 / $1,621.81	Facility		$446.68	$831.76	$1,621.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $933.25	Professional		$478.63	$660.69	$933.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $954.99	Professional		$389.05	$575.44	$954.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $50,118.72 / $75,857.76	Facility		$478.63	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $645.65 / $1,000.00	Professional		$398.11	$645.65	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $8,317.64	Facility		$1,819.70	$3,981.07	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $1,412.54	Professional		$371.54	$602.56	$1,412.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $524.81 / $1,995.26	Facility		$371.54	$524.81	$1,995.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $1,348.96	Professional		$380.19	$549.54	$1,348.96