Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,206.59 / $4,663.00 / $10,024.00	Facility		$1,206.59	$4,663.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.00 / $844.15 / $1,838.38	Professional		$676.00	$844.15	$1,838.38
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 $698.91 / $867.92 / $1,962.67	Professional		$698.91	$867.92	$1,962.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,293.15 / $1,990.00 / $8,917.50	Facility		$1,293.15	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,293.15 / $1,293.15 / $1,293.15	Professional		$1,293.15	$1,293.15	$1,293.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,055.32 / $1,055.32 / $1,055.32	Facility		$1,055.32	$1,055.32	$1,055.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $622.77 / $1,191.98 / $2,915.11	Professional		$622.77	$1,191.98	$2,915.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,002.82 / $2,473.46	Facility		$332.00	$1,002.82	$2,473.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,103.09 / $1,278.59 / $2,715.32	Professional		$1,103.09	$1,278.59	$2,715.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $700.53 / $875.39 / $1,723.27	Professional		$700.53	$875.39	$1,723.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,055.32 / $74,999.25	Facility		$555.00	$1,055.32	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $879.46 / $1,236.21 / $2,793.40	Professional		$879.46	$1,236.21	$2,793.40
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 $616.25 / $1,085.10 / $2,419.42	Professional		$616.25	$1,085.10	$2,419.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,001.21 / $1,001.21 / $2,945.62	Facility		$1,001.21	$1,001.21	$2,945.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $700.53 / $1,001.21 / $2,564.27	Professional		$700.53	$1,001.21	$2,564.27