Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,171.93 / $5,157.00 / $11,396.00	Facility		$1,171.93	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.72 / $932.03 / $1,735.66	Professional		$819.72	$932.03	$1,735.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,228.00	Facility		$3,283.00	$5,434.00	$12,228.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $798.78 / $1,017.71 / $2,189.71	Professional		$798.78	$1,017.71	$2,189.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,262.14 / $1,262.14 / $37,499.62	Facility		$1,262.14	$1,262.14	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,262.14 / $1,262.14 / $1,262.14	Professional		$1,262.14	$1,262.14	$1,262.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,573.94 / $2,573.94 / $2,828.78	Professional		$2,573.94	$2,573.94	$2,828.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,815.60 / $3,481.85	Facility		$332.00	$1,815.60	$3,481.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $982.59 / $1,394.81 / $2,061.23	Professional		$982.59	$1,394.81	$2,061.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $843.79 / $843.79 / $843.79	Facility		$843.79	$843.79	$843.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $731.52 / $1,075.76 / $1,897.66	Professional		$731.52	$1,075.76	$1,897.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $973.39 / $1,271.33 / $2,722.08	Professional		$973.39	$1,271.33	$2,722.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $6,344.00 / $14,069.00	Facility		$2,705.00	$6,344.00	$14,069.00
United Facility/Professional Professional Modifier Low / Median / High Price $798.64 / $1,165.81 / $2,923.02	Professional		$798.64	$1,165.81	$2,923.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,075.76 / $1,075.76 / $4,157.14	Facility		$1,075.76	$1,075.76	$4,157.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $767.96 / $1,175.90 / $2,273.98	Professional		$767.96	$1,175.90	$2,273.98