Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $5,754.40 / $12,022.64	Facility		$1,905.46	$5,754.40	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $776.25 / $1,071.52	Professional		$489.78	$776.25	$1,071.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,888.44 / $12,302.69	Facility		$3,311.31	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $1,737.80	Professional		$1,174.90	$1,412.54	$1,737.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $37,153.52	Facility		$1,071.52	$1,071.52	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,288.25 / $7,762.47	Facility		$34.67	$1,288.25	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,174.90 / $3,548.13	Professional		$660.69	$1,174.90	$3,548.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,148.15 / $3,311.31	Facility		$891.25	$1,148.15	$3,311.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $1,995.26	Professional		$1,000.00	$1,258.93	$1,995.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,122.02 / $1,819.70	Professional		$660.69	$1,122.02	$1,819.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $50,118.72 / $75,857.76	Facility		$912.01	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,073.80 / $9,120.11	Facility		$1,412.54	$4,073.80	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $933.25 / $2,137.96	Professional		$588.84	$933.25	$2,137.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $954.99 / $1,023.29	Facility		$691.83	$954.99	$1,023.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,023.29 / $2,089.30	Professional		$691.83	$1,023.29	$2,089.30