Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.27 / $4,910.00 / $11,396.00	Facility		$945.27	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $834.03 / $1,044.18 / $1,860.70	Professional		$834.03	$1,044.18	$1,860.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,407.00 / $5,434.00 / $12,168.00	Facility		$3,407.00	$5,434.00	$12,168.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.41 / $858.06 / $1,845.56	Professional		$656.41	$858.06	$1,845.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,092.77 / $1,092.77 / $37,499.62	Facility		$1,092.77	$1,092.77	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,092.77 / $1,092.77 / $1,092.77	Professional		$1,092.77	$1,092.77	$1,092.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $879.48 / $7,227.90 / $50,020.00	Facility		$879.48	$7,227.90	$50,020.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.20 / $1,323.75 / $2,816.38	Professional		$768.20	$1,323.75	$2,816.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,455.00 / $6,715.24	Facility		$332.00	$1,455.00	$6,715.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $826.76 / $1,102.33 / $1,589.21	Professional		$826.76	$1,102.33	$1,589.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.84 / $1,063.14 / $1,329.88	Professional		$528.84	$1,063.14	$1,329.88
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 $768.97 / $1,278.15 / $2,786.02	Professional		$768.97	$1,278.15	$2,786.02
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 $771.01 / $1,036.43 / $2,435.00	Professional		$771.01	$1,036.43	$2,435.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,400.80 / $1,400.80 / $4,014.84	Facility		$1,400.80	$1,400.80	$4,014.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $528.84 / $1,123.65 / $1,948.95	Professional		$528.84	$1,123.65	$1,948.95