Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,384.17 / $5,288.55 / $11,609.00	Facility		$1,384.17	$5,288.55	$11,609.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $888.38 / $968.77 / $2,859.56	Professional		$888.38	$968.77	$2,859.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,196.00 / $11,909.00	Facility		$3,263.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $920.66 / $1,119.56 / $2,550.82	Professional		$920.66	$1,119.56	$2,550.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,455.14 / $1,990.00 / $8,917.50	Facility		$1,455.14	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,455.14 / $1,455.14 / $1,455.14	Professional		$1,455.14	$1,455.14	$1,455.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,161.46 / $1,161.46 / $1,161.46	Facility		$1,161.46	$1,161.46	$1,161.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.10 / $1,390.84 / $3,255.35	Professional		$679.10	$1,390.84	$3,255.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $981.57 / $2,688.44	Facility		$332.00	$981.57	$2,688.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.49 / $1,393.80 / $2,951.30	Professional		$1,202.49	$1,393.80	$2,951.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $835.27 / $980.11 / $1,896.56	Professional		$835.27	$980.11	$1,896.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,161.46 / $74,999.25	Facility		$555.00	$1,161.46	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $932.15 / $1,380.50 / $2,850.98	Professional		$932.15	$1,380.50	$2,850.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,248.00 / $11,200.00	Facility		$2,160.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $713.55 / $1,264.56 / $2,519.11	Professional		$713.55	$1,264.56	$2,519.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,101.89 / $1,101.89 / $1,354.68	Facility		$1,101.89	$1,101.89	$1,354.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $920.98 / $1,101.89 / $2,417.38	Professional		$920.98	$1,101.89	$2,417.38