Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,981.07 / $10,000.00	Facility		$630.96	$3,981.07	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $1,258.93	Professional		$407.38	$512.86	$1,258.93
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 $371.54 / $467.74 / $1,148.15	Professional		$371.54	$467.74	$1,148.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,995.26 / $8,912.51	Facility		$645.65	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $50,118.72	Facility		$776.25	$776.25	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $2,041.74	Professional		$457.09	$691.83	$2,041.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $691.83 / $1,737.80	Facility		$478.63	$691.83	$1,737.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,023.29	Professional		$512.86	$707.95	$1,023.29
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $954.99	Professional		$380.19	$602.56	$954.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $50,118.72 / $75,857.76	Facility		$457.09	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $1,230.27	Professional		$398.11	$602.56	$1,230.27
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 $389.05 / $549.54 / $1,380.38	Professional		$389.05	$549.54	$1,380.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $549.54 / $2,041.74	Facility		$371.54	$549.54	$2,041.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $1,318.26	Professional		$371.54	$562.34	$1,318.26