Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,242.00 / $4,828.00 / $10,674.00	Facility		$1,242.00	$4,828.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.29 / $956.48 / $2,816.46	Professional		$824.29	$956.48	$2,816.46
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 $788.09 / $999.28 / $2,178.42	Professional		$788.09	$999.28	$2,178.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,414.36 / $2,390.00 / $10,957.50	Facility		$1,414.36	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,414.36 / $1,414.36 / $1,414.36	Professional		$1,414.36	$1,414.36	$1,414.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,199.65 / $1,199.65 / $1,199.65	Facility		$1,199.65	$1,199.65	$1,199.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.40 / $1,320.65 / $3,099.37	Professional		$686.40	$1,320.65	$3,099.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,134.00 / $2,811.96	Facility		$332.00	$1,134.00	$2,811.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,253.49 / $1,453.29 / $3,086.91	Professional		$1,253.49	$1,453.29	$3,086.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.48 / $995.14 / $1,957.31	Professional		$741.48	$995.14	$1,957.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,199.65 / $74,999.25	Facility		$555.00	$1,199.65	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $894.52 / $1,339.00 / $3,290.53	Professional		$894.52	$1,339.00	$3,290.53
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 $640.50 / $1,104.32 / $2,565.96	Professional		$640.50	$1,104.32	$2,565.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,137.19 / $1,137.19 / $3,117.35	Facility		$1,137.19	$1,137.19	$3,117.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $741.48 / $1,137.19 / $2,771.76	Professional		$741.48	$1,137.19	$2,771.76