Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,265.80 / $10,232.93	Facility		$1,202.26	$4,265.80	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $2,398.83	Professional		$758.58	$1,000.00	$2,398.83
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 $602.56 / $776.25 / $2,137.96	Professional		$602.56	$776.25	$2,137.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $8,912.51	Facility		$1,230.27	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $50,118.72	Facility		$1,445.44	$1,862.09	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,412.54 / $3,801.89	Professional		$645.65	$1,412.54	$3,801.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $977.24 / $3,019.95	Facility		$812.83	$977.24	$3,019.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,584.89	Professional		$812.83	$1,096.48	$1,584.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,122.02 / $1,862.09	Professional		$676.08	$1,122.02	$1,862.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $50,118.72 / $75,857.76	Facility		$831.76	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,122.02 / $1,819.70	Professional		$398.11	$1,122.02	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,128.61 / $11,481.54	Facility		$2,398.83	$5,128.61	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $2,454.71	Professional		$660.69	$954.99	$2,454.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $954.99 / $2,511.89	Facility		$707.95	$954.99	$2,511.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $2,398.83	Professional		$691.83	$1,047.13	$2,398.83