Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,265.80 / $10,000.00	Facility		$1,096.48	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $2,454.71	Professional		$724.44	$933.25	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $758.58 / $1,995.26	Professional		$588.84	$758.58	$1,995.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,995.26 / $8,912.51	Facility		$1,122.02	$1,995.26	$8,912.51
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 $1,348.96 / $1,862.09 / $50,118.72	Facility		$1,348.96	$1,862.09	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,288.25 / $3,548.13	Professional		$676.08	$1,288.25	$3,548.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $954.99 / $2,691.53	Facility		$758.58	$954.99	$2,691.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,445.44	Professional		$741.31	$1,000.00	$1,445.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,071.52 / $1,949.84	Professional		$660.69	$1,071.52	$1,949.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $50,118.72 / $75,857.76	Facility		$870.96	$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 $562.34 / $870.96 / $2,344.23	Professional		$562.34	$870.96	$2,344.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,047.13 / $2,630.27	Facility		$645.65	$1,047.13	$2,630.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,047.13 / $2,454.71	Professional		$645.65	$1,047.13	$2,454.71