Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $4,265.80 / $10,000.00	Facility		$954.99	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,949.84	Professional		$616.60	$812.83	$1,949.84
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 $575.44 / $724.44 / $1,621.81	Professional		$575.44	$724.44	$1,621.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,995.26 / $8,912.51	Facility		$1,023.29	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
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 $707.95 / $1,096.48 / $3,090.30	Professional		$707.95	$1,096.48	$3,090.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $794.33 / $1,862.09	Facility		$302.00	$794.33	$1,862.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,584.89	Professional		$794.33	$1,096.48	$1,584.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $1,548.82	Professional		$588.84	$977.24	$1,548.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $50,118.72 / $75,857.76	Facility		$794.33	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $954.99 / $1,995.26	Professional		$398.11	$954.99	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $13,489.63	Facility		$2,398.83	$5,888.44	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $2,187.76	Professional		$630.96	$891.25	$2,187.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $891.25 / $3,715.35	Facility		$602.56	$891.25	$3,715.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $2,238.72	Professional		$602.56	$891.25	$2,238.72