Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,238.25 / $4,828.00 / $10,674.00	Facility		$1,238.25	$4,828.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $751.43 / $921.17 / $2,025.97	Professional		$751.43	$921.17	$2,025.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,142.00 / $9,074.00	Facility		$2,393.00	$4,142.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $775.19 / $970.27 / $2,171.73	Professional		$775.19	$970.27	$2,171.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,432.04 / $2,390.00 / $10,957.50	Facility		$1,432.04	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,432.04 / $1,432.04 / $1,432.04	Professional		$1,432.04	$1,432.04	$1,432.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,151.29 / $1,151.29 / $1,151.29	Facility		$1,151.29	$1,151.29	$1,151.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.38 / $1,321.05 / $3,231.48	Professional		$679.38	$1,321.05	$3,231.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,093.74 / $2,697.30	Facility		$332.00	$1,093.74	$2,697.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,203.10 / $1,394.52 / $2,961.04	Professional		$1,203.10	$1,394.52	$2,961.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $774.79 / $955.20 / $1,881.37	Professional		$774.79	$955.20	$1,881.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,151.29 / $74,999.25	Facility		$555.00	$1,151.29	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $959.04 / $1,370.38 / $3,028.80	Professional		$959.04	$1,370.38	$3,028.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,764.00 / $3,961.00 / $8,312.00	Facility		$1,764.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $675.46 / $1,198.46 / $2,634.63	Professional		$675.46	$1,198.46	$2,634.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,093.07 / $1,093.07 / $3,279.89	Facility		$1,093.07	$1,093.07	$3,279.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $774.79 / $1,093.07 / $2,848.98	Professional		$774.79	$1,093.07	$2,848.98