Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,801.89 / $9,120.11	Facility		$1,047.13	$3,801.89	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,995.26	Professional		$676.08	$851.14	$1,995.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,481.54 / $18,620.87	Facility		$4,786.30	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,905.46	Professional		$616.60	$794.33	$1,905.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $6,165.95	Facility		$1,071.52	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $50,118.72	Facility		$1,288.25	$1,288.25	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $3,235.94	Professional		$741.31	$1,122.02	$3,235.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $812.83 / $1,949.84	Facility		$354.81	$812.83	$1,949.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,659.59	Professional		$831.76	$1,148.15	$1,659.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,000.00 / $1,621.81	Professional		$602.56	$1,000.00	$1,621.81
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 / $1,000.00 / $2,089.30	Professional		$398.11	$1,000.00	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,456.54 / $16,982.44	Facility		$2,454.71	$6,456.54	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $912.01 / $2,290.87	Professional		$602.56	$912.01	$2,290.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $912.01 / $2,398.83	Facility		$616.60	$912.01	$2,398.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $977.24 / $2,041.74	Professional		$616.60	$977.24	$2,041.74