Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,630.78 / $10,964.78	Facility		$1,230.27	$3,630.78	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $2,570.40	Professional		$851.14	$1,000.00	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,511.38 / $16,595.87	Facility		$4,570.88	$8,511.38	$16,595.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $2,454.71	Professional		$758.58	$977.24	$2,454.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $37,153.52	Facility		$1,318.26	$1,318.26	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,584.89 / $50,118.72	Facility		$34.67	$1,584.89	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,621.81 / $4,168.69	Professional		$912.01	$1,621.81	$4,168.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $3,467.37	Facility		$1,071.52	$1,737.80	$3,467.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,819.70	Professional		$977.24	$1,288.25	$1,819.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,230.27 / $1,949.84	Professional		$794.33	$1,230.27	$1,949.84
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 / $1,258.93 / $2,041.74	Professional		$398.11	$1,258.93	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,168.69 / $9,332.54	Facility		$1,513.56	$4,168.69	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $2,570.40	Professional		$794.33	$1,122.02	$2,570.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $870.96 / $3,162.28	Facility		$741.31	$870.96	$3,162.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $2,630.27	Professional		$741.31	$1,071.52	$2,630.27