Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $5,248.07 / $11,748.98	Facility		$1,230.27	$5,248.07	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $2,691.53	Professional		$794.33	$1,023.29	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $13,803.84	Facility		$3,981.07	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $2,089.30	Professional		$660.69	$831.76	$2,089.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,630.27 / $12,302.69	Facility		$1,202.26	$2,630.27	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,290.87 / $50,118.72	Facility		$1,412.54	$2,290.87	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,148.15 / $3,090.30	Professional		$691.83	$1,148.15	$3,090.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $977.24 / $2,754.23	Facility		$812.83	$977.24	$2,754.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,548.82	Professional		$812.83	$1,023.29	$1,548.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,023.29 / $1,819.70	Professional		$588.84	$1,023.29	$1,819.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $50,118.72 / $75,857.76	Facility		$794.33	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,047.13 / $1,737.80	Professional		$398.11	$1,047.13	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,265.80 / $9,772.37	Facility		$1,905.46	$4,265.80	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,905.46	Professional		$660.69	$891.25	$1,905.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,148.15 / $2,398.83	Facility		$691.83	$1,148.15	$2,398.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,023.29 / $3,235.94	Professional		$676.08	$1,023.29	$3,235.94