Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,100.49 / $4,043.00 / $10,296.00	Facility		$1,100.49	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.44 / $1,233.61 / $2,223.83	Professional		$977.44	$1,233.61	$2,223.83
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 $764.67 / $999.57 / $2,147.62	Professional		$764.67	$999.57	$2,147.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,297.69 / $2,390.00 / $10,957.50	Facility		$1,297.69	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,297.69 / $1,297.69 / $1,297.69	Professional		$1,297.69	$1,297.69	$1,297.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.91 / $1,047.91 / $7,227.90	Facility		$1,047.91	$1,047.91	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $921.35 / $1,509.15 / $3,340.72	Professional		$921.35	$1,509.15	$3,340.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,347.00 / $5,468.82	Facility		$332.00	$1,347.00	$5,468.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $982.01 / $1,309.33 / $1,887.64	Professional		$982.01	$1,309.33	$1,887.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.96 / $880.13 / $1,494.27	Professional		$484.96	$880.13	$1,494.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,047.91 / $74,999.25	Facility		$555.00	$1,047.91	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $922.82 / $1,489.73 / $3,238.51	Professional		$922.82	$1,489.73	$3,238.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $938.62 / $1,182.21 / $2,871.18	Professional		$938.62	$1,182.21	$2,871.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,152.76 / $1,152.76 / $2,327.58	Facility		$1,152.76	$1,152.76	$2,327.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $484.96 / $1,152.76 / $2,303.26	Professional		$484.96	$1,152.76	$2,303.26