Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,265.80 / $10,232.93	Facility		$1,202.26	$4,265.80	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $2,754.23	Professional		$812.83	$1,071.52	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $2,187.76	Professional		$660.69	$831.76	$2,187.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $8,912.51	Facility		$1,348.96	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $50,118.72	Facility		$1,548.82	$2,187.76	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,202.26 / $3,467.37	Professional		$707.95	$1,202.26	$3,467.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,122.02 / $3,311.31	Facility		$933.25	$1,122.02	$3,311.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,862.09	Professional		$977.24	$1,202.26	$1,862.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,148.15 / $2,041.74	Professional		$660.69	$1,148.15	$2,041.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $50,118.72 / $75,857.76	Facility		$812.83	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,096.48 / $1,949.84	Professional		$398.11	$1,096.48	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,897.79 / $11,481.54	Facility		$2,187.76	$4,897.79	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $2,041.74	Professional		$724.44	$954.99	$2,041.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,318.26 / $2,511.89	Facility		$776.25	$1,318.26	$2,511.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,148.15 / $3,715.35	Professional		$707.95	$1,148.15	$3,715.35