Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $5,248.07 / $11,748.98	Facility		$1,202.26	$5,248.07	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $2,398.83	Professional		$724.44	$933.25	$2,398.83
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 $676.08 / $851.14 / $2,238.72	Professional		$676.08	$851.14	$2,238.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $12,302.69	Facility		$1,230.27	$1,230.27	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,479.11 / $50,118.72	Facility		$34.67	$1,479.11	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,479.11 / $3,890.45	Professional		$812.83	$1,479.11	$3,890.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,621.81 / $2,951.21	Facility		$870.96	$1,621.81	$2,951.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,548.82	Professional		$812.83	$1,071.52	$1,548.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $2,137.96	Professional		$758.58	$1,122.02	$2,137.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $50,118.72 / $75,857.76	Facility		$891.25	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,148.15 / $1,862.09	Professional		$398.11	$1,148.15	$1,862.09
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 $831.76 / $1,174.90 / $2,454.71	Professional		$831.76	$1,174.90	$2,454.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $977.24 / $2,884.03	Facility		$707.95	$977.24	$2,884.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,047.13 / $2,754.23	Professional		$707.95	$1,047.13	$2,754.23