Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,168.69 / $10,964.78	Facility		$1,148.15	$4,168.69	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $2,344.23	Professional		$707.95	$912.01	$2,344.23
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 / $812.83 / $2,089.30	Professional		$645.65	$812.83	$2,089.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,630.27 / $8,912.51	Facility		$1,174.90	$2,630.27	$8,912.51
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 / $1,445.44 / $3,801.89	Professional		$794.33	$1,445.44	$3,801.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,584.89 / $2,818.38	Facility		$870.96	$1,584.89	$2,818.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,513.56	Professional		$776.25	$1,047.13	$1,513.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,778.28	Professional		$724.44	$1,071.52	$1,778.28
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 / $5,128.61 / $12,302.69	Facility		$2,398.83	$5,128.61	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $2,187.76	Professional		$794.33	$1,122.02	$2,187.76
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 / $1,000.00 / $2,630.27	Professional		$676.08	$1,000.00	$2,630.27