Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,096.48 / $1,584.89	Facility		$467.74	$1,096.48	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,380.38	Professional		$562.34	$758.58	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,818.38	Facility		$1,412.54	$1,412.54	$2,818.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $831.76 / $2,137.96	Professional		$812.83	$831.76	$2,137.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,148.15 / $1,148.15	Facility		$1,071.52	$1,148.15	$1,148.15
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,511.89 / $50,118.72	Facility		$851.14	$2,511.89	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $1,513.56	Professional		$630.96	$630.96	$1,513.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,290.87 / $5,370.32	Facility		$1,412.54	$2,290.87	$5,370.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,479.11 / $2,691.53	Professional		$870.96	$1,479.11	$2,691.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $562.34	Facility		$537.03	$537.03	$562.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $831.76 / $870.96	Professional		$537.03	$831.76	$870.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $50,118.72 / $75,857.76	Facility		$1,148.15	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $1,348.96	Professional		$912.01	$1,348.96	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,318.26 / $1,862.09	Facility		$562.34	$1,318.26	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $707.95 / $1,174.90	Professional		$457.09	$707.95	$1,174.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $794.33 / $831.76	Facility		$537.03	$794.33	$831.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $831.76 / $870.96	Professional		$537.03	$831.76	$870.96