Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $5,248.07 / $11,748.98	Facility		$1,258.93	$5,248.07	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $2,818.38	Professional		$831.76	$1,047.13	$2,818.38
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 $724.44 / $933.25 / $2,238.72	Professional		$724.44	$933.25	$2,238.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $37,153.52	Facility		$1,258.93	$1,258.93	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,513.56 / $50,118.72	Facility		$34.67	$1,513.56	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,479.11 / $3,981.07	Professional		$794.33	$1,479.11	$3,981.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,230.27 / $3,090.30	Facility		$933.25	$1,230.27	$3,090.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,621.81	Professional		$831.76	$1,122.02	$1,621.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,318.26 / $1,905.46	Professional		$691.83	$1,318.26	$1,905.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $50,118.72 / $75,857.76	Facility		$954.99	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,202.26 / $1,949.84	Professional		$398.11	$1,202.26	$1,949.84
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 $676.08 / $1,000.00 / $2,691.53	Professional		$676.08	$1,000.00	$2,691.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,148.15 / $3,090.30	Facility		$724.44	$1,148.15	$3,090.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,174.90 / $2,818.38	Professional		$707.95	$1,174.90	$2,818.38