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 / $11,748.98	Facility		$1,288.25	$5,248.07	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $2,951.21	Professional		$870.96	$1,071.52	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $2,344.23	Professional		$758.58	$977.24	$2,344.23
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 $812.83 / $1,548.82 / $4,168.69	Professional		$812.83	$1,548.82	$4,168.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,148.15 / $3,235.94	Facility		$977.24	$1,148.15	$3,235.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,698.24	Professional		$870.96	$1,174.90	$1,698.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,258.93 / $1,995.26	Professional		$724.44	$1,258.93	$1,995.26
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 / $1,258.93 / $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 $707.95 / $1,047.13 / $2,818.38	Professional		$707.95	$1,047.13	$2,818.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,202.26 / $3,235.94	Facility		$758.58	$1,202.26	$3,235.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,202.26 / $2,951.21	Professional		$741.31	$1,202.26	$2,951.21