Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $4,265.80 / $10,000.00	Facility		$269.15	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $537.03	Professional		$181.97	$218.78	$537.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $371.54	Professional		$138.04	$162.18	$371.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,995.26 / $8,912.51	Facility		$269.15	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,548.82 / $5,754.40	Facility		$331.13	$1,548.82	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $309.03 / $707.95	Professional		$177.83	$309.03	$707.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $213.80 / $478.63	Facility		$85.11	$213.80	$478.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $407.38	Professional		$204.17	$257.04	$407.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $416.87	Professional		$162.18	$229.09	$416.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $50,118.72 / $75,857.76	Facility		$194.98	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $380.19 / $512.86	Professional		$229.09	$380.19	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,365.16 / $9,549.93	Facility		$1,819.70	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $204.17 / $467.74	Professional		$147.91	$204.17	$467.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $234.42 / $741.31	Facility		$162.18	$234.42	$741.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $501.19	Professional		$162.18	$234.42	$501.19