Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,630.78 / $10,964.78	Facility		$1,000.00	$3,630.78	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $2,089.30	Professional		$645.65	$851.14	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,511.38 / $16,595.87	Facility		$4,570.88	$8,511.38	$16,595.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,949.84	Professional		$588.84	$776.25	$1,949.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $37,153.52	Facility		$1,023.29	$1,023.29	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,230.27 / $50,118.72	Facility		$34.67	$1,230.27	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,380.38 / $3,311.31	Professional		$741.31	$1,380.38	$3,311.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $912.01 / $2,818.38	Facility		$776.25	$912.01	$2,818.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,479.11	Professional		$794.33	$1,047.13	$1,479.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $912.01 / $1,819.70	Professional		$588.84	$912.01	$1,819.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $50,118.72 / $75,857.76	Facility		$724.44	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $954.99 / $1,548.82	Professional		$398.11	$954.99	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,168.69 / $9,332.54	Facility		$1,513.56	$4,168.69	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $2,137.96	Professional		$588.84	$851.14	$2,137.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $776.25 / $2,089.30	Facility		$588.84	$776.25	$2,089.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $2,290.87	Professional		$588.84	$870.96	$2,290.87