Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,179.75 / $4,392.00 / $10,686.00	Facility		$1,179.75	$4,392.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,031.35 / $1,245.95 / $2,281.25	Professional		$1,031.35	$1,245.95	$2,281.25
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 $769.76 / $1,006.23 / $2,211.92	Professional		$769.76	$1,006.23	$2,211.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,301.27 / $1,301.27 / $8,917.50	Facility		$1,301.27	$1,301.27	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,301.27 / $1,301.27 / $1,301.27	Professional		$1,301.27	$1,301.27	$1,301.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,063.48 / $1,063.48 / $7,227.90	Facility		$1,063.48	$1,063.48	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $967.42 / $1,535.65 / $3,422.48	Professional		$967.42	$1,535.65	$3,422.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,560.00 / $6,333.60	Facility		$332.00	$1,560.00	$6,333.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $989.69 / $1,319.58 / $1,902.39	Professional		$989.69	$1,319.58	$1,902.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $670.77 / $885.55 / $1,501.92	Professional		$670.77	$885.55	$1,501.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,063.48 / $74,999.25	Facility		$555.00	$1,063.48	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $974.16 / $1,560.08 / $3,422.48	Professional		$974.16	$1,560.08	$3,422.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $5,963.00 / $11,098.00	Facility		$2,337.00	$5,963.00	$11,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $950.80 / $1,247.40 / $2,837.94	Professional		$950.80	$1,247.40	$2,837.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,159.84 / $1,159.84 / $3,700.52	Facility		$1,159.84	$1,159.84	$3,700.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $670.77 / $1,323.80 / $2,317.44	Professional		$670.77	$1,323.80	$2,317.44