Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,195.83 / $4,910.00 / $11,396.00	Facility		$1,195.83	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $984.56 / $1,254.22 / $3,391.69	Professional		$984.56	$1,254.22	$3,391.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,793.00 / $9,974.00 / $17,122.00	Facility		$4,793.00	$9,974.00	$17,122.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $824.68 / $1,078.02 / $2,631.03	Professional		$824.68	$1,078.02	$2,631.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,396.55 / $1,396.55 / $37,499.62	Facility		$1,396.55	$1,396.55	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,396.55 / $1,396.55 / $1,396.55	Professional		$1,396.55	$1,396.55	$1,396.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,154.65 / $1,154.65 / $7,227.90	Facility		$1,154.65	$1,154.65	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $983.17 / $1,805.65 / $5,090.62	Professional		$983.17	$1,805.65	$5,090.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,685.92 / $2,861.12	Facility		$319.00	$1,685.92	$2,861.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,224.75 / $1,551.36 / $5,569.65	Professional		$1,224.75	$1,551.36	$5,569.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $790.59 / $1,162.61 / $1,848.31	Professional		$790.59	$1,162.61	$1,848.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,154.65 / $74,999.25	Facility		$597.00	$1,154.65	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,021.41 / $1,879.62 / $4,862.32	Professional		$1,021.41	$1,879.62	$4,862.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $889.79 / $1,403.75 / $3,233.62	Professional		$889.79	$1,403.75	$3,233.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,162.61 / $1,162.61 / $3,815.22	Facility		$1,162.61	$1,162.61	$3,815.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $790.59 / $1,244.95 / $2,384.61	Professional		$790.59	$1,244.95	$2,384.61