Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,388.44 / $10,232.93	Facility		$1,023.29	$3,388.44	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $2,454.71	Professional		$724.44	$891.25	$2,454.71
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 $630.96 / $812.83 / $1,949.84	Professional		$630.96	$812.83	$1,949.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $12,302.69	Facility		$1,096.48	$1,096.48	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,318.26 / $50,118.72	Facility		$34.67	$1,318.26	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,288.25 / $3,548.13	Professional		$724.44	$1,288.25	$3,548.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,023.29 / $2,691.53	Facility		$794.33	$1,023.29	$2,691.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $1,412.54	Professional		$741.31	$977.24	$1,412.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,148.15 / $1,659.59	Professional		$616.60	$1,148.15	$1,659.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $50,118.72 / $75,857.76	Facility		$851.14	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,047.13 / $1,698.24	Professional		$398.11	$1,047.13	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $9,772.37	Facility		$2,137.96	$4,365.16	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $2,344.23	Professional		$602.56	$870.96	$2,344.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,000.00 / $2,691.53	Facility		$630.96	$1,000.00	$2,691.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,023.29 / $2,454.71	Professional		$616.60	$1,023.29	$2,454.71