Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $794.33 / $1,122.02	Facility		$331.13	$794.33	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $676.08	Professional		$323.59	$457.09	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,995.26	Facility		$1,000.00	$1,000.00	$1,995.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $1,584.89	Professional		$467.74	$467.74	$1,584.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $812.83 / $812.83	Facility		$758.58	$812.83	$812.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,412.54 / $50,118.72	Facility		$549.54	$1,412.54	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $977.24	Professional		$398.11	$398.11	$977.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,659.59 / $3,890.45	Facility		$1,000.00	$1,659.59	$3,890.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,047.13 / $1,949.84	Professional		$616.60	$1,047.13	$1,949.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $457.09	Facility		$436.52	$436.52	$457.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $630.96	Professional		$436.52	$588.84	$630.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $50,118.72 / $75,857.76	Facility		$933.25	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $954.99	Professional		$660.69	$954.99	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $562.34 / $1,047.13	Facility		$316.23	$562.34	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $831.76	Professional		$323.59	$489.78	$831.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $562.34 / $588.84	Facility		$436.52	$562.34	$588.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $630.96	Professional		$436.52	$588.84	$630.96