Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,372.56 / $5,845.00 / $12,281.85	Facility		$1,372.56	$5,845.00	$12,281.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $902.71 / $1,066.08 / $2,502.42	Professional		$902.71	$1,066.08	$2,502.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,142.00 / $9,074.00	Facility		$2,393.00	$4,142.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $838.19 / $1,095.68 / $2,558.84	Professional		$838.19	$1,095.68	$2,558.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,445.29 / $3,478.50 / $13,477.50	Facility		$1,445.29	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,445.29 / $1,445.29 / $1,445.29	Professional		$1,445.29	$1,445.29	$1,445.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,156.88 / $1,156.88 / $1,156.88	Facility		$1,156.88	$1,156.88	$1,156.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $779.54 / $1,391.70 / $3,621.18	Professional		$779.54	$1,391.70	$3,621.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $975.00 / $2,710.19	Facility		$332.00	$975.00	$2,710.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,207.99 / $1,427.62 / $2,975.19	Professional		$1,207.99	$1,427.62	$2,975.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $835.23 / $960.14 / $1,898.06	Professional		$835.23	$960.14	$1,898.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,156.88 / $74,999.25	Facility		$555.00	$1,156.88	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $963.62 / $1,396.31 / $3,502.08	Professional		$963.62	$1,396.31	$3,502.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $13,746.00	Facility		$2,264.00	$5,963.00	$13,746.00
United Facility/Professional Professional Modifier Low / Median / High Price $842.23 / $1,177.95 / $2,544.62	Professional		$842.23	$1,177.95	$2,544.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,222.98 / $1,222.98 / $3,891.43	Facility		$1,222.98	$1,222.98	$3,891.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $835.23 / $1,222.98 / $2,975.24	Professional		$835.23	$1,222.98	$2,975.24