Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,122.02 / $1,584.89	Facility		$398.11	$1,122.02	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $870.96 / $1,202.26	Professional		$489.78	$870.96	$1,202.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,818.38	Facility		$1,412.54	$1,412.54	$2,818.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,290.87 / $3,311.31	Professional		$1,380.38	$2,290.87	$3,311.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,148.15 / $1,148.15	Facility		$1,071.52	$1,148.15	$1,148.15
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,949.84 / $50,118.72	Facility		$776.25	$1,949.84	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $1,380.38	Professional		$512.86	$512.86	$1,380.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,344.23 / $5,495.41	Facility		$1,412.54	$2,344.23	$5,495.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,905.46 / $2,754.23	Professional		$912.01	$1,905.46	$2,754.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $891.25 / $1,380.38	Professional		$794.33	$891.25	$1,380.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $50,118.72 / $75,857.76	Facility		$4,365.16	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $1,348.96	Professional		$1,122.02	$1,348.96	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,258.93 / $1,479.11	Facility		$489.78	$1,258.93	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,230.27	Professional		$467.74	$691.83	$1,230.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,412.54 / $1,412.54	Facility		$870.96	$1,412.54	$1,412.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $891.25 / $1,412.54	Professional		$794.33	$891.25	$1,412.54