Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,801.89 / $10,964.78	Facility		$1,122.02	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $2,570.40	Professional		$812.83	$1,023.29	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $2,238.72	Professional		$707.95	$912.01	$2,238.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $37,153.52	Facility		$1,174.90	$1,174.90	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,412.54 / $50,118.72	Facility		$34.67	$1,412.54	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,584.89 / $4,168.69	Professional		$831.76	$1,584.89	$4,168.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,737.80 / $3,235.94	Facility		$1,000.00	$1,737.80	$3,235.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,737.80	Professional		$912.01	$1,258.93	$1,737.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,148.15 / $1,513.56	Professional		$575.44	$1,148.15	$1,513.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $50,118.72 / $75,857.76	Facility		$933.25	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,096.48 / $1,318.26	Professional		$398.11	$1,096.48	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,677.35 / $37,153.52	Facility		$2,089.30	$4,677.35	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $2,454.71	Professional		$794.33	$1,096.48	$2,454.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,513.56 / $4,265.80	Facility		$676.08	$1,513.56	$4,265.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,202.26 / $3,630.78	Professional		$575.44	$1,202.26	$3,630.78