Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,248.07 / $12,022.64	Facility		$1,288.25	$5,248.07	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $2,511.89	Professional		$851.14	$1,047.13	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,762.47 / $13,803.84	Facility		$3,890.45	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $831.76 / $1,778.28	Professional		$707.95	$831.76	$1,778.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,630.27 / $12,302.69	Facility		$1,288.25	$2,630.27	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $7,943.28	Facility		$1,513.56	$1,513.56	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,258.93 / $3,162.28	Professional		$724.44	$1,258.93	$3,162.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,122.02 / $3,235.94	Facility		$870.96	$1,122.02	$3,235.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,905.46	Professional		$954.99	$1,202.26	$1,905.46
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $1,905.46	Professional		$794.33	$1,174.90	$1,905.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $50,118.72 / $75,857.76	Facility		$1,023.29	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,174.90 / $2,398.83	Professional		$398.11	$1,174.90	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,495.41 / $13,803.84	Facility		$2,238.72	$5,495.41	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $954.99 / $2,187.76	Professional		$676.08	$954.99	$2,187.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,096.48 / $3,548.13	Facility		$741.31	$1,096.48	$3,548.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $2,570.40	Professional		$741.31	$1,096.48	$2,570.40