Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,248.07 / $11,748.98	Facility		$1,288.25	$5,248.07	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $2,754.23	Professional		$831.76	$1,071.52	$2,754.23
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 $707.95 / $891.25 / $2,344.23	Professional		$707.95	$891.25	$2,344.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,630.27 / $12,302.69	Facility		$1,288.25	$2,630.27	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,511.89 / $50,118.72	Facility		$1,513.56	$2,511.89	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,548.82 / $4,073.80	Professional		$691.83	$1,548.82	$4,073.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,096.48 / $3,388.44	Facility		$870.96	$1,096.48	$3,388.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,819.70	Professional		$933.25	$1,258.93	$1,819.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,202.26 / $1,949.84	Professional		$776.25	$1,202.26	$1,949.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $50,118.72 / $75,857.76	Facility		$954.99	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,148.15 / $1,862.09	Professional		$398.11	$1,148.15	$1,862.09
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 $707.95 / $1,000.00 / $2,570.40	Professional		$707.95	$1,000.00	$2,570.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,000.00 / $2,951.21	Facility		$758.58	$1,000.00	$2,951.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $2,511.89	Professional		$758.58	$1,122.02	$2,511.89