Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,265.80 / $10,232.93	Facility		$1,096.48	$4,265.80	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $2,511.89	Professional		$741.31	$1,000.00	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $1,995.26	Professional		$602.56	$776.25	$1,995.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $8,912.51	Facility		$1,258.93	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $50,118.72	Facility		$1,445.44	$1,445.44	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,122.02 / $3,235.94	Professional		$660.69	$1,122.02	$3,235.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,071.52 / $3,019.95	Facility		$851.14	$1,071.52	$3,019.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $1,698.24	Professional		$912.01	$1,096.48	$1,698.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,047.13 / $1,905.46	Professional		$616.60	$1,047.13	$1,905.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $50,118.72 / $75,857.76	Facility		$741.31	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,023.29 / $1,819.70	Professional		$398.11	$1,023.29	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,265.80 / $9,549.93	Facility		$1,905.46	$4,265.80	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,905.46	Professional		$676.08	$891.25	$1,905.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,230.27 / $2,344.23	Facility		$741.31	$1,230.27	$2,344.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,047.13 / $3,388.44	Professional		$660.69	$1,047.13	$3,388.44