Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,630.78 / $10,964.78	Facility		$1,230.27	$3,630.78	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $2,570.40	Professional		$812.83	$1,047.13	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,511.38 / $16,595.87	Facility		$4,466.84	$8,511.38	$16,595.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $2,398.83	Professional		$724.44	$954.99	$2,398.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $37,153.52	Facility		$1,258.93	$1,258.93	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,513.56 / $50,118.72	Facility		$34.67	$1,513.56	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,659.59 / $4,073.80	Professional		$891.25	$1,659.59	$4,073.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $3,388.44	Facility		$1,000.00	$1,202.26	$3,388.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,778.28	Professional		$954.99	$1,258.93	$1,778.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,862.09	Professional		$758.58	$1,096.48	$1,862.09
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 / $1,202.26 / $1,905.46	Professional		$398.11	$1,202.26	$1,905.46
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 $741.31 / $1,047.13 / $2,691.53	Professional		$741.31	$1,047.13	$2,691.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $954.99 / $2,884.03	Facility		$724.44	$954.99	$2,884.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $2,511.89	Professional		$724.44	$1,071.52	$2,511.89