Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.45 / $4,574.00 / $10,024.00	Facility		$1,129.45	$4,574.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.66 / $1,024.89 / $2,223.91	Professional		$698.66	$1,024.89	$2,223.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,217.00 / $5,196.00 / $11,909.00	Facility		$3,217.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $626.63 / $819.13 / $1,905.62	Professional		$626.63	$819.13	$1,905.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,282.19 / $1,990.00 / $8,917.50	Facility		$1,282.19	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,282.19 / $1,282.19 / $1,282.19	Professional		$1,282.19	$1,282.19	$1,282.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,034.95 / $1,034.95 / $2,203.26	Facility		$1,034.95	$1,034.95	$2,203.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.32 / $1,083.88 / $2,489.05	Professional		$674.32	$1,083.88	$2,489.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $966.45 / $2,339.57	Facility		$332.00	$966.45	$2,339.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,014.84 / $1,235.68 / $1,932.90	Professional		$1,014.84	$1,235.68	$1,932.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.08 / $852.19 / $1,739.67	Professional		$422.08	$852.19	$1,739.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,034.95 / $74,999.25	Facility		$555.00	$1,034.95	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $723.39 / $1,110.58 / $2,334.13	Professional		$723.39	$1,110.58	$2,334.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,063.00 / $5,191.00 / $11,098.00	Facility		$2,063.00	$5,191.00	$11,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $681.75 / $935.83 / $1,953.59	Professional		$681.75	$935.83	$1,953.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,261.40 / $1,261.40 / $2,342.85	Facility		$1,261.40	$1,261.40	$2,342.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $422.08 / $1,261.40 / $2,270.78	Professional		$422.08	$1,261.40	$2,270.78