Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,225.65 / $4,828.00 / $10,674.00	Facility		$1,225.65	$4,828.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.16 / $912.15 / $2,005.15	Professional		$730.16	$912.15	$2,005.15
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 $803.02 / $997.21 / $2,183.84	Professional		$803.02	$997.21	$2,183.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,417.41 / $2,390.00 / $10,957.50	Facility		$1,417.41	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,417.41 / $1,417.41 / $1,417.41	Professional		$1,417.41	$1,417.41	$1,417.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,139.39 / $1,139.39 / $1,139.39	Facility		$1,139.39	$1,139.39	$1,139.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $673.20 / $1,309.36 / $3,191.92	Professional		$673.20	$1,309.36	$3,191.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,082.48 / $2,669.58	Facility		$332.00	$1,082.48	$2,669.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,186.48 / $1,380.16 / $2,930.61	Professional		$1,186.48	$1,380.16	$2,930.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $746.62 / $945.29 / $1,861.22	Professional		$746.62	$945.29	$1,861.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,139.39 / $74,999.25	Facility		$555.00	$1,139.39	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $949.18 / $1,353.60 / $3,083.85	Professional		$949.18	$1,353.60	$3,083.85
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 $695.77 / $1,143.82 / $2,554.88	Professional		$695.77	$1,143.82	$2,554.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,081.35 / $1,081.35 / $3,180.55	Facility		$1,081.35	$1,081.35	$3,180.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $746.62 / $1,081.35 / $2,764.17	Professional		$746.62	$1,081.35	$2,764.17