Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,265.80 / $10,232.93	Facility		$1,258.93	$4,265.80	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $2,344.23	Professional		$776.25	$891.25	$2,344.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $2,089.30	Professional		$691.83	$912.01	$2,089.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,995.26 / $8,912.51	Facility		$1,288.25	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $50,118.72	Facility		$1,584.89	$1,862.09	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,202.26 / $3,090.30	Professional		$630.96	$1,202.26	$3,090.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,047.13 / $2,951.21	Facility		$724.44	$1,047.13	$2,951.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,949.84	Professional		$1,000.00	$1,174.90	$1,949.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,737.80	Professional		$707.95	$1,000.00	$1,737.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $50,118.72 / $75,857.76	Facility		$891.25	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,096.48 / $1,412.54	Professional		$398.11	$1,096.48	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,128.61 / $11,481.54	Facility		$2,344.23	$5,128.61	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $977.24 / $2,089.30	Professional		$549.54	$977.24	$2,089.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,000.00 / $2,951.21	Facility		$676.08	$1,000.00	$2,951.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,096.48 / $2,818.38	Professional		$707.95	$1,096.48	$2,818.38