Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.30 / $4,663.00 / $10,024.00	Facility		$1,244.30	$4,663.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.59 / $858.06 / $1,934.38	Professional		$701.59	$858.06	$1,934.38
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 $756.31 / $939.21 / $2,081.44	Professional		$756.31	$939.21	$2,081.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,334.48 / $1,990.00 / $8,917.50	Facility		$1,334.48	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,334.48 / $1,334.48 / $1,334.48	Professional		$1,334.48	$1,334.48	$1,334.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,110.75 / $1,110.75 / $1,110.75	Facility		$1,110.75	$1,110.75	$1,110.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $639.88 / $1,252.47 / $3,054.54	Professional		$639.88	$1,252.47	$3,054.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,054.83 / $2,602.28	Facility		$332.00	$1,054.83	$2,602.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,160.31 / $1,344.91 / $2,856.73	Professional		$1,160.31	$1,344.91	$2,856.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.71 / $921.70 / $1,815.44	Professional		$724.71	$921.70	$1,815.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,110.75 / $74,999.25	Facility		$555.00	$1,110.75	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $708.75 / $1,288.75 / $2,940.78	Professional		$708.75	$1,288.75	$2,940.78
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 $617.41 / $1,120.92 / $2,389.52	Professional		$617.41	$1,120.92	$2,389.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,054.76 / $1,054.76 / $3,061.48	Facility		$1,054.76	$1,054.76	$3,061.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $724.71 / $1,054.76 / $2,651.68	Professional		$724.71	$1,054.76	$2,651.68