Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,248.07 / $12,882.50	Facility		$1,122.02	$5,248.07	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $2,511.89	Professional		$724.44	$933.25	$2,511.89
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 $616.60 / $794.33 / $1,995.26	Professional		$616.60	$794.33	$1,995.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,265.80 / $16,595.87	Facility		$1,122.02	$4,265.80	$16,595.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,348.96 / $50,118.72	Facility		$34.67	$1,348.96	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,318.26 / $3,467.37	Professional		$758.58	$1,318.26	$3,467.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,380.38 / $2,754.23	Facility		$831.76	$1,380.38	$2,754.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,445.44	Professional		$758.58	$1,000.00	$1,445.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,174.90 / $1,698.24	Professional		$602.56	$1,174.90	$1,698.24
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 / $1,737.80	Professional		$398.11	$1,047.13	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,265.80 / $9,549.93	Facility		$2,137.96	$4,265.80	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $2,344.23	Professional		$616.60	$891.25	$2,344.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,047.13 / $2,691.53	Facility		$660.69	$1,047.13	$2,691.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,047.13 / $2,570.40	Professional		$645.65	$1,047.13	$2,570.40