Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,715.35 / $9,120.11	Facility		$1,202.26	$3,715.35	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $977.24 / $2,511.89	Professional		$776.25	$977.24	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $13,803.84	Facility		$4,073.80	$7,762.47	$13,803.84
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 $1,174.90 / $1,698.24 / $6,165.95	Facility		$1,174.90	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $50,118.72	Facility		$1,412.54	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,380.38 / $3,715.35	Professional		$645.65	$1,380.38	$3,715.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $933.25 / $2,884.03	Facility		$776.25	$933.25	$2,884.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,513.56	Professional		$776.25	$1,047.13	$1,513.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,071.52 / $2,089.30	Professional		$691.83	$1,071.52	$2,089.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $50,118.72 / $75,857.76	Facility		$851.14	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,071.52 / $1,778.28	Professional		$398.11	$1,071.52	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $13,803.84	Facility		$2,398.83	$5,888.44	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $2,398.83	Professional		$645.65	$933.25	$2,398.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $912.01 / $2,630.27	Facility		$676.08	$912.01	$2,630.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $2,630.27	Professional		$676.08	$1,000.00	$2,630.27