Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $741.31 / $1,584.89	Facility		$562.34	$741.31	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $3,235.94	Professional		$562.34	$724.44	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $588.84	Facility		$562.34	$562.34	$588.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $831.76	Facility		$794.33	$794.33	$831.76
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $1,513.56	Facility		$537.03	$537.03	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $2,691.53	Professional		$562.34	$562.34	$2,691.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $794.33 / $2,238.72	Facility		$616.60	$794.33	$2,238.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,202.26	Professional		$660.69	$660.69	$1,202.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $676.08	Facility		$630.96	$630.96	$676.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $50,118.72 / $75,857.76	Facility		$676.08	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $1,023.29	Professional		$562.34	$562.34	$1,023.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $724.44	Facility		$630.96	$630.96	$724.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $758.58	Professional		$630.96	$630.96	$758.58