Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $4,265.80 / $10,000.00	Facility		$354.81	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $776.25	Professional		$213.80	$281.84	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,000.00	Facility		$2,630.27	$4,786.30	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $630.96	Professional		$194.98	$245.47	$630.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $8,912.51	Facility		$363.08	$363.08	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $426.58 / $50,118.72	Facility		$34.67	$426.58	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $467.74 / $1,148.15	Professional		$251.19	$467.74	$1,148.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $562.34 / $933.25	Facility		$269.15	$562.34	$933.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $467.74	Professional		$239.88	$323.59	$467.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $630.96	Professional		$223.87	$331.13	$630.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $50,118.72 / $75,857.76	Facility		$436.52	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $537.03	Professional		$309.03	$380.19	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $9,549.93	Facility		$2,137.96	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $660.69	Professional		$239.88	$338.84	$660.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $288.40 / $912.01	Facility		$208.93	$288.40	$912.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $812.83	Professional		$208.93	$309.03	$812.83