Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,981.07 / $11,220.18	Facility		$1,047.13	$3,981.07	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $2,290.87	Professional		$707.95	$977.24	$2,290.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $13,803.84	Facility		$3,981.07	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $2,454.71	Professional		$831.76	$1,023.29	$2,454.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,630.27 / $12,302.69	Facility		$1,047.13	$2,630.27	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,445.44	Professional		$1,047.13	$1,047.13	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $50,118.72	Facility		$1,258.93	$1,258.93	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,318.26 / $3,388.44	Professional		$758.58	$1,318.26	$3,388.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,071.52 / $2,630.27	Facility		$794.33	$1,071.52	$2,630.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $2,511.89	Professional		$1,288.25	$1,778.28	$2,511.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,318.26 / $2,137.96	Professional		$794.33	$1,318.26	$2,137.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $50,118.72 / $75,857.76	Facility		$707.95	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,318.26 / $2,754.23	Professional		$398.11	$1,318.26	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $13,803.84	Facility		$2,398.83	$5,888.44	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,071.52 / $2,691.53	Professional		$676.08	$1,071.52	$2,691.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $891.25 / $3,235.94	Facility		$602.56	$891.25	$3,235.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,230.27 / $2,691.53	Professional		$831.76	$1,230.27	$2,691.53