Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $676.08 / $977.24	Facility		$309.03	$676.08	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $588.84	Professional		$288.40	$371.54	$588.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,737.80	Facility		$870.96	$870.96	$1,737.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $426.58 / $1,318.26	Professional		$407.38	$426.58	$1,318.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $707.95 / $707.95	Facility		$660.69	$707.95	$707.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,230.27 / $50,118.72	Facility		$416.87	$1,230.27	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $831.76	Professional		$309.03	$309.03	$831.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,412.54 / $3,311.31	Facility		$870.96	$1,412.54	$3,311.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $912.01 / $1,659.59	Professional		$537.03	$912.01	$1,659.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $501.19	Facility		$478.63	$478.63	$501.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $512.86 / $537.03	Professional		$478.63	$512.86	$537.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $50,118.72 / $75,857.76	Facility		$1,023.29	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $831.76	Professional		$562.34	$831.76	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $537.03 / $912.01	Facility		$275.42	$537.03	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $446.68 / $707.95	Professional		$281.84	$446.68	$707.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $512.86 / $524.81	Facility		$478.63	$512.86	$524.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $512.86 / $537.03	Professional		$478.63	$512.86	$537.03