Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $870.96 / $1,230.27	Facility		$398.11	$870.96	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $741.31	Professional		$354.81	$457.09	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $2,187.76	Facility		$1,096.48	$1,096.48	$2,187.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $1,737.80	Professional		$489.78	$489.78	$1,737.80
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 $645.65 / $1,479.11 / $50,118.72	Facility		$645.65	$1,479.11	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $1,047.13	Professional		$478.63	$478.63	$1,047.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $4,265.80	Facility		$1,096.48	$1,819.70	$4,265.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,148.15 / $2,137.96	Professional		$676.08	$1,148.15	$2,137.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $776.25	Facility		$724.44	$724.44	$776.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $691.83 / $724.44	Professional		$645.65	$691.83	$724.44
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 $724.44 / $1,047.13 / $1,047.13	Professional		$724.44	$1,047.13	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $645.65 / $1,096.48	Facility		$331.13	$645.65	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $562.34 / $891.25	Professional		$354.81	$562.34	$891.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $676.08 / $776.25	Facility		$645.65	$676.08	$776.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $691.83 / $724.44	Professional		$645.65	$691.83	$724.44