Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,069.28 / $4,910.00 / $11,396.00	Facility		$1,069.28	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.86 / $1,184.90 / $2,121.79	Professional		$961.86	$1,184.90	$2,121.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,184.00 / $11,809.00	Facility		$3,263.00	$5,184.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $730.15 / $954.45 / $2,104.06	Professional		$730.15	$954.45	$2,104.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,242.39 / $1,242.39 / $37,499.62	Facility		$1,242.39	$1,242.39	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,242.39 / $1,242.39 / $1,242.39	Professional		$1,242.39	$1,242.39	$1,242.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.54 / $1,000.54 / $7,227.90	Facility		$1,000.54	$1,000.54	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $879.40 / $1,463.04 / $3,196.26	Professional		$879.40	$1,463.04	$3,196.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,561.98 / $7,105.00	Facility		$332.00	$1,561.98	$7,105.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $937.19 / $1,249.58 / $1,801.48	Professional		$937.19	$1,249.58	$1,801.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.38 / $844.36 / $1,507.77	Professional		$608.38	$844.36	$1,507.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,000.54 / $74,999.25	Facility		$555.00	$1,000.54	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $880.13 / $1,463.04 / $3,179.41	Professional		$880.13	$1,463.04	$3,179.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $4,114.00 / $8,515.00	Facility		$1,479.00	$4,114.00	$8,515.00
United Facility/Professional Professional Modifier Low / Median / High Price $860.88 / $1,181.24 / $2,636.40	Professional		$860.88	$1,181.24	$2,636.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,105.91 / $1,105.91 / $3,283.07	Facility		$1,105.91	$1,105.91	$3,283.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $608.38 / $1,105.91 / $2,209.65	Professional		$608.38	$1,105.91	$2,209.65