Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $851.14 / $1,202.26	Facility		$363.08	$851.14	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $977.24	Professional		$426.58	$562.34	$977.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $2,187.76	Facility		$1,071.52	$1,071.52	$2,187.76
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 $831.76 / $891.25 / $891.25	Facility		$831.76	$891.25	$891.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,737.80 / $50,118.72	Facility		$602.56	$1,737.80	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $1,258.93	Professional		$446.68	$446.68	$1,258.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $4,168.69	Facility		$1,071.52	$1,778.28	$4,168.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,148.15 / $2,089.30	Professional		$676.08	$1,148.15	$2,089.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $812.83	Facility		$758.58	$758.58	$812.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $398.11 / $758.58	Professional		$380.19	$398.11	$758.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $50,118.72 / $75,857.76	Facility		$1,659.59	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,047.13	Professional		$707.95	$1,047.13	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,122.02 / $1,318.26	Facility		$398.11	$1,122.02	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $912.01	Professional		$354.81	$524.81	$912.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $562.34 / $812.83	Facility		$380.19	$562.34	$812.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $398.11 / $758.58	Professional		$380.19	$398.11	$758.58