Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $831.76 / $1,202.26	Facility		$354.81	$831.76	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $1,000.00	Professional		$457.09	$630.96	$1,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $2,137.96	Facility		$1,071.52	$1,071.52	$2,137.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,819.70	Professional		$660.69	$660.69	$1,819.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $870.96 / $870.96	Facility		$812.83	$870.96	$870.96
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,905.46 / $50,118.72	Facility		$776.25	$1,905.46	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $1,148.15	Professional		$562.34	$562.34	$1,148.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $4,073.80	Facility		$1,071.52	$1,737.80	$4,073.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,174.90 / $2,041.74	Professional		$660.69	$1,174.90	$2,041.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $776.25	Facility		$741.31	$741.31	$776.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $660.69 / $741.31	Professional		$630.96	$660.69	$741.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $50,118.72 / $75,857.76	Facility		$1,584.89	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,023.29 / $1,023.29	Professional		$691.83	$1,023.29	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $794.33 / $1,412.54	Facility		$426.58	$794.33	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $891.25	Professional		$346.74	$549.54	$891.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $645.65 / $776.25	Facility		$630.96	$645.65	$776.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $660.69 / $741.31	Professional		$630.96	$660.69	$741.31