Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.30 / $4,910.00 / $11,396.00	Facility		$973.30	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $859.37 / $1,058.35 / $1,913.47	Professional		$859.37	$1,058.35	$1,913.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,123.00 / $9,074.00	Facility		$2,393.00	$4,123.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $658.96 / $861.39 / $1,881.26	Professional		$658.96	$861.39	$1,881.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,126.97 / $1,126.97 / $37,499.62	Facility		$1,126.97	$1,126.97	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,126.97 / $1,126.97 / $1,126.97	Professional		$1,126.97	$1,126.97	$1,126.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $913.32 / $7,227.90 / $50,020.00	Facility		$913.32	$7,227.90	$50,020.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $786.76 / $1,296.24 / $2,902.70	Professional		$786.76	$1,296.24	$2,902.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,427.93 / $6,195.56	Facility		$332.00	$1,427.93	$6,195.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $856.76 / $1,142.33 / $1,646.87	Professional		$856.76	$1,142.33	$1,646.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.13 / $976.59 / $1,443.83	Professional		$529.13	$976.59	$1,443.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $7,227.90 / $74,999.25	Facility		$555.00	$7,227.90	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $817.47 / $1,288.93 / $2,890.43	Professional		$817.47	$1,288.93	$2,890.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,754.00 / $45,860.00	Facility		$1,749.00	$4,754.00	$45,860.00
United Facility/Professional Professional Modifier Low / Median / High Price $774.48 / $1,050.00 / $2,378.87	Professional		$774.48	$1,050.00	$2,378.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,443.83 / $1,443.83 / $2,464.40	Facility		$1,443.83	$1,443.83	$2,464.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $529.13 / $1,158.17 / $2,008.81	Professional		$529.13	$1,158.17	$2,008.81