Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,323.11 / $4,574.00 / $10,024.00	Facility		$1,323.11	$4,574.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.39 / $1,157.76 / $2,626.00	Professional		$863.39	$1,157.76	$2,626.00
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 $757.74 / $990.51 / $2,330.05	Professional		$757.74	$990.51	$2,330.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,466.62 / $1,990.00 / $8,917.50	Facility		$1,466.62	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,466.62 / $1,466.62 / $1,466.62	Professional		$1,466.62	$1,466.62	$1,466.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,179.98 / $1,179.98 / $2,203.26	Facility		$1,179.98	$1,179.98	$2,203.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.44 / $1,259.39 / $2,906.78	Professional		$809.44	$1,259.39	$2,906.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $900.00 / $2,674.73	Facility		$332.00	$900.00	$2,674.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,161.05 / $1,438.24 / $2,212.67	Professional		$1,161.05	$1,438.24	$2,212.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $504.26 / $980.08 / $1,950.17	Professional		$504.26	$980.08	$1,950.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,179.98 / $74,999.25	Facility		$555.00	$1,179.98	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $864.58 / $1,301.31 / $2,716.22	Professional		$864.58	$1,301.31	$2,716.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,299.00 / $4,893.00 / $10,046.00	Facility		$2,299.00	$4,893.00	$10,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $801.29 / $1,131.79 / $2,460.48	Professional		$801.29	$1,131.79	$2,460.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,441.14 / $1,441.14 / $2,742.76	Facility		$1,441.14	$1,441.14	$2,742.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $504.26 / $1,441.14 / $2,613.67	Professional		$504.26	$1,441.14	$2,613.67