Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $4,265.80 / $10,000.00	Facility		$645.65	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $1,288.25	Professional		$426.58	$537.03	$1,288.25
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 $371.54 / $467.74 / $1,174.90	Professional		$371.54	$467.74	$1,174.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $8,912.51	Facility		$676.08	$676.08	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $812.83 / $50,118.72	Facility		$34.67	$812.83	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $2,187.76	Professional		$467.74	$691.83	$2,187.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $676.08 / $1,819.70	Facility		$501.19	$676.08	$1,819.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,071.52	Professional		$537.03	$741.31	$1,071.52
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $645.65 / $1,023.29	Professional		$380.19	$645.65	$1,023.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $50,118.72 / $75,857.76	Facility		$457.09	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $645.65 / $1,318.26	Professional		$398.11	$645.65	$1,318.26
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 $407.38 / $575.44 / $1,412.54	Professional		$407.38	$575.44	$1,412.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $588.84 / $1,949.84	Facility		$398.11	$588.84	$1,949.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $1,318.26	Professional		$389.05	$588.84	$1,318.26