Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,801.89 / $10,964.78	Facility		$562.34	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $1,174.90	Professional		$389.05	$501.19	$1,174.90
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 $354.81 / $446.68 / $1,148.15	Professional		$354.81	$446.68	$1,148.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,398.83 / $10,964.78	Facility		$562.34	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $645.65	Professional		$562.34	$562.34	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $691.83 / $50,118.72	Facility		$676.08	$691.83	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $575.44 / $1,412.54	Professional		$338.84	$575.44	$1,412.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $524.81 / $1,348.96	Facility		$407.38	$524.81	$1,348.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $1,000.00	Professional		$524.81	$645.65	$1,000.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $549.54 / $954.99	Professional		$316.23	$549.54	$954.99
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 / $549.54 / $933.25	Professional		$398.11	$549.54	$933.25
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 $331.13 / $457.09 / $977.24	Professional		$331.13	$457.09	$977.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $549.54 / $1,122.02	Facility		$331.13	$549.54	$1,122.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $549.54 / $1,479.11	Professional		$331.13	$549.54	$1,479.11