Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,066.75 / $4,910.00 / $11,396.00	Facility		$1,066.75	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.86 / $1,101.68 / $3,383.88	Professional		$907.86	$1,101.68	$3,383.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,204.00 / $11,909.00	Facility		$3,283.00	$5,204.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $761.38 / $965.41 / $2,396.21	Professional		$761.38	$965.41	$2,396.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,292.58 / $1,292.58 / $37,499.62	Facility		$1,292.58	$1,292.58	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,292.58 / $1,292.58 / $1,292.58	Professional		$1,292.58	$1,292.58	$1,292.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,068.33 / $1,068.33 / $7,227.90	Facility		$1,068.33	$1,068.33	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.49 / $1,540.77 / $4,842.83	Professional		$910.49	$1,540.77	$4,842.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,585.73 / $2,993.60	Facility		$319.00	$1,585.73	$2,993.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,133.29 / $1,256.45 / $2,035.99	Professional		$1,133.29	$1,256.45	$2,035.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $721.00 / $913.94 / $1,709.37	Professional		$721.00	$913.94	$1,709.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,068.33 / $58,336.00	Facility		$597.00	$1,068.33	$58,336.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $924.50 / $1,622.42 / $4,416.39	Professional		$924.50	$1,622.42	$4,416.39
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 $928.41 / $1,383.42 / $3,119.40	Professional		$928.41	$1,383.42	$3,119.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,075.22 / $1,075.22 / $3,624.95	Facility		$1,075.22	$1,075.22	$3,624.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $721.00 / $1,080.88 / $2,205.35	Professional		$721.00	$1,080.88	$2,205.35