Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,495.41 / $12,882.50	Facility		$1,047.13	$5,495.41	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $3,019.95	Professional		$741.31	$1,000.00	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $13,803.84	Facility		$4,073.80	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,949.84	Professional		$616.60	$794.33	$1,949.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,265.80 / $16,595.87	Facility		$1,096.48	$4,265.80	$16,595.87
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 $1,318.26 / $4,786.30 / $50,118.72	Facility		$1,318.26	$4,786.30	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,258.93 / $3,467.37	Professional		$660.69	$1,258.93	$3,467.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,230.27 / $2,630.27	Facility		$794.33	$1,230.27	$2,630.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,380.38	Professional		$707.95	$954.99	$1,380.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,071.52 / $1,949.84	Professional		$630.96	$1,071.52	$1,949.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $50,118.72 / $75,857.76	Facility		$831.76	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $2,041.74	Professional		$912.01	$1,096.48	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $13,803.84	Facility		$2,398.83	$5,888.44	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $2,290.87	Professional		$549.54	$851.14	$2,290.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,047.13 / $2,344.23	Facility		$630.96	$1,047.13	$2,344.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,047.13 / $1,995.26	Professional		$630.96	$1,047.13	$1,995.26