Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,162.28 / $8,128.31	Facility		$1,047.13	$3,162.28	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $2,041.74	Professional		$645.65	$812.83	$2,041.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $1,949.84	Professional		$676.08	$870.96	$1,949.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $6,165.95	Facility		$1,071.52	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,230.27	Professional		$1,071.52	$1,071.52	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $50,118.72	Facility		$1,288.25	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,047.13 / $2,290.87	Professional		$562.34	$1,047.13	$2,290.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $831.76 / $2,570.40	Facility		$645.65	$831.76	$2,570.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $2,041.74	Professional		$1,071.52	$1,258.93	$2,041.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,621.81	Professional		$691.83	$933.25	$1,621.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $50,118.72 / $75,857.76	Facility		$794.33	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $1,318.26	Professional		$954.99	$1,174.90	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,128.61 / $11,481.54	Facility		$2,344.23	$5,128.61	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $870.96 / $1,819.70	Professional		$489.78	$870.96	$1,819.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $812.83 / $2,454.71	Facility		$602.56	$812.83	$2,454.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,023.29 / $2,290.87	Professional		$691.83	$1,023.29	$2,290.87