Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,162.28 / $8,128.31	Facility		$616.60	$3,162.28	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $1,348.96	Professional		$398.11	$562.34	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $1,348.96	Professional		$416.87	$524.81	$1,348.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,698.24 / $6,165.95	Facility		$575.44	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $776.25	Professional		$575.44	$575.44	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,862.09 / $50,118.72	Facility		$676.08	$1,862.09	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $660.69 / $1,548.82	Professional		$338.84	$660.69	$1,548.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $446.68 / $1,230.27	Facility		$302.00	$446.68	$1,230.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,174.90	Professional		$630.96	$758.58	$1,174.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $645.65 / $1,148.15	Professional		$371.54	$645.65	$1,148.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $50,118.72 / $75,857.76	Facility		$380.19	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $660.69 / $1,096.48	Professional		$398.11	$660.69	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,897.79 / $11,481.54	Facility		$2,187.76	$4,897.79	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $1,096.48	Professional		$346.74	$501.19	$1,096.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $562.34 / $1,122.02	Facility		$331.13	$562.34	$1,122.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $1,380.38	Professional		$371.54	$562.34	$1,380.38