Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $831.76 / $1,174.90	Facility		$380.19	$831.76	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $676.08	Professional		$331.13	$436.52	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $2,089.30	Facility		$1,047.13	$1,047.13	$2,089.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $1,621.81	Professional		$467.74	$467.74	$1,621.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $851.14 / $851.14	Facility		$794.33	$851.14	$851.14
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,380.38 / $50,118.72	Facility		$575.44	$1,380.38	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $1,023.29	Professional		$416.87	$416.87	$1,023.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $3,981.07	Facility		$1,047.13	$1,737.80	$3,981.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,096.48 / $1,995.26	Professional		$645.65	$1,096.48	$1,995.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $707.95	Facility		$676.08	$676.08	$707.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $660.69 / $676.08	Professional		$616.60	$660.69	$676.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $50,118.72 / $75,857.76	Facility		$1,479.11	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $1,000.00	Professional		$676.08	$1,000.00	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $602.56 / $1,047.13	Facility		$316.23	$602.56	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $537.03 / $851.14	Professional		$338.84	$537.03	$851.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $645.65 / $707.95	Facility		$616.60	$645.65	$707.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $660.69 / $676.08	Professional		$616.60	$660.69	$676.08