Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,248.07 / $11,748.98	Facility		$1,148.15	$5,248.07	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $2,398.83	Professional		$707.95	$912.01	$2,398.83
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 $645.65 / $831.76 / $2,089.30	Professional		$645.65	$831.76	$2,089.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,630.27 / $13,489.63	Facility		$1,174.90	$2,630.27	$13,489.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,412.54 / $50,118.72	Facility		$34.67	$1,412.54	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,412.54 / $3,715.35	Professional		$794.33	$1,412.54	$3,715.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,548.82 / $2,884.03	Facility		$870.96	$1,548.82	$2,884.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,513.56	Professional		$794.33	$1,047.13	$1,513.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $2,089.30	Professional		$724.44	$1,096.48	$2,089.30
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 / $1,096.48 / $1,778.28	Professional		$398.11	$1,096.48	$1,778.28
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 $794.33 / $1,122.02 / $2,137.96	Professional		$794.33	$1,122.02	$2,137.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $954.99 / $2,754.23	Facility		$676.08	$954.99	$2,754.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,023.29 / $2,511.89	Professional		$676.08	$1,023.29	$2,511.89