Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $17,782.79 / $43,651.58	Facility		$251.19	$17,782.79	$43,651.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $478.63	Professional		$177.83	$239.88	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $45,708.82 / $125,892.54	Facility		$7,943.28	$45,708.82	$125,892.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $512.86	Professional		$158.49	$199.53	$512.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $204.17	Facility		$74.13	$74.13	$204.17
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $204.17 / $281.84	Professional		$74.13	$204.17	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $21,877.62 / $50,118.72	Facility		$302.00	$21,877.62	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $389.05 / $891.25	Professional		$194.98	$389.05	$891.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $63.10 / $177.83	Facility		$42.66	$63.10	$177.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $416.87	Professional		$213.80	$281.84	$416.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $100.00	Facility		$95.50	$95.50	$100.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $398.11	Professional		$151.36	$269.15	$398.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $50,118.72 / $75,857.76	Facility		$204.17	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $501.19	Professional		$229.09	$281.84	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,884.03 / $8,511.38	Facility		$1,258.93	$2,884.03	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $524.81	Professional		$177.83	$251.19	$524.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $154.88 / $691.83	Facility		$95.50	$154.88	$691.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $269.15 / $489.78	Professional		$154.88	$269.15	$489.78