Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $4,265.80 / $10,000.00	Facility		$776.25	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $1,698.24	Professional		$457.09	$575.44	$1,698.24
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 $436.52 / $537.03 / $1,318.26	Professional		$436.52	$537.03	$1,318.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,995.26 / $8,912.51	Facility		$741.31	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $50,118.72	Facility		$912.01	$912.01	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $741.31 / $2,238.72	Professional		$501.19	$741.31	$2,238.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $691.83 / $1,621.81	Facility		$398.11	$691.83	$1,621.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,380.38	Professional		$676.08	$912.01	$1,380.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $691.83 / $1,122.02	Professional		$416.87	$691.83	$1,122.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $50,118.72 / $75,857.76	Facility		$398.11	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $707.95 / $1,479.11	Professional		$398.11	$707.95	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $9,549.93	Facility		$2,041.74	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $1,737.80	Professional		$426.58	$660.69	$1,737.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $630.96 / $1,584.89	Facility		$436.52	$630.96	$1,584.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $1,348.96	Professional		$436.52	$645.65	$1,348.96