Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,265.80 / $10,000.00	Facility		$1,148.15	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $2,511.89	Professional		$794.33	$977.24	$2,511.89
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 $660.69 / $831.76 / $2,137.96	Professional		$660.69	$831.76	$2,137.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $8,912.51	Facility		$1,258.93	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $50,118.72	Facility		$1,445.44	$1,445.44	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,348.96 / $3,981.07	Professional		$870.96	$1,348.96	$3,981.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,071.52 / $3,311.31	Facility		$831.76	$1,071.52	$3,311.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,995.26	Professional		$1,000.00	$1,380.38	$1,995.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,148.15 / $1,862.09	Professional		$741.31	$1,148.15	$1,862.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $50,118.72 / $75,857.76	Facility		$933.25	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,122.02 / $2,398.83	Professional		$398.11	$1,122.02	$2,398.83
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 $758.58 / $1,096.48 / $2,630.27	Professional		$758.58	$1,096.48	$2,630.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,047.13 / $3,801.89	Facility		$724.44	$1,047.13	$3,801.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $2,454.71	Professional		$724.44	$1,096.48	$2,454.71