Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,011.86 / $4,910.00 / $11,396.00	Facility		$1,011.86	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.50 / $1,120.31 / $1,986.78	Professional		$906.50	$1,120.31	$1,986.78
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 $704.83 / $921.35 / $1,962.89	Professional		$704.83	$921.35	$1,962.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,171.71 / $1,171.71 / $37,499.62	Facility		$1,171.71	$1,171.71	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,171.71 / $1,171.71 / $1,171.71	Professional		$1,171.71	$1,171.71	$1,171.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $944.54 / $7,227.90 / $50,020.00	Facility		$944.54	$7,227.90	$50,020.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.35 / $1,407.92 / $2,988.10	Professional		$826.35	$1,407.92	$2,988.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,552.00 / $7,153.72	Facility		$332.00	$1,552.00	$7,153.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $885.56 / $1,180.75 / $1,702.25	Professional		$885.56	$1,180.75	$1,702.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.72 / $1,138.67 / $1,502.50	Professional		$579.72	$1,138.67	$1,502.50
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 $847.37 / $1,373.99 / $2,988.10	Professional		$847.37	$1,373.99	$2,988.10
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 $809.07 / $1,063.99 / $2,436.17	Professional		$809.07	$1,063.99	$2,436.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,502.50 / $1,502.50 / $4,282.43	Facility		$1,502.50	$1,502.50	$4,282.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $579.72 / $1,205.23 / $2,090.44	Professional		$579.72	$1,205.23	$2,090.44