Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,402.50 / $4,940.00 / $10,686.00	Facility		$1,402.50	$4,940.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $837.71 / $1,044.08 / $2,284.35	Professional		$837.71	$1,044.08	$2,284.35
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 $881.52 / $1,094.70 / $2,422.71	Professional		$881.52	$1,094.70	$2,422.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,623.36 / $2,390.00 / $10,957.50	Facility		$1,623.36	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,623.36 / $1,623.36 / $1,623.36	Professional		$1,623.36	$1,623.36	$1,623.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,303.43 / $1,303.43 / $1,303.43	Facility		$1,303.43	$1,303.43	$1,303.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $770.44 / $1,497.87 / $3,658.37	Professional		$770.44	$1,497.87	$3,658.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,238.18 / $3,054.74	Facility		$332.00	$1,238.18	$3,054.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,362.00 / $1,578.68 / $3,353.42	Professional		$1,362.00	$1,578.68	$3,353.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $859.19 / $1,081.35 / $2,128.71	Professional		$859.19	$1,081.35	$2,128.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,303.43 / $74,999.25	Facility		$555.00	$1,303.43	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,086.13 / $1,545.46 / $3,456.98	Professional		$1,086.13	$1,545.46	$3,456.98
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 $791.97 / $1,328.98 / $2,947.74	Professional		$791.97	$1,328.98	$2,947.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,236.77 / $1,236.77 / $3,664.67	Facility		$1,236.77	$1,236.77	$3,664.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $859.19 / $1,236.77 / $3,191.86	Professional		$859.19	$1,236.77	$3,191.86