Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,121.00 / $5,370.00 / $10,686.00	Facility		$2,121.00	$5,370.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,431.36 / $2,903.91 / $3,295.21	Professional		$1,431.36	$2,903.91	$3,295.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,938.18 / $2,280.21 / $4,474.66	Professional		$1,938.18	$2,280.21	$4,474.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,741.46 / $3,741.46 / $13,477.50	Facility		$3,741.46	$3,741.46	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,741.46 / $3,741.46 / $3,741.46	Professional		$3,741.46	$3,741.46	$3,741.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,251.84 / $2,251.84 / $7,227.90	Facility		$2,251.84	$2,251.84	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,759.61 / $8,009.10 / $8,009.10	Professional		$1,759.61	$8,009.10	$8,009.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $667.15 / $1,540.51	Facility		$294.00	$667.15	$1,540.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $656.01 / $835.30 / $1,691.13	Professional		$656.01	$835.30	$1,691.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $513.19 / $697.94 / $1,076.59	Professional		$513.19	$697.94	$1,076.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,251.84 / $7,227.90	Facility		$555.00	$2,251.84	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,759.61 / $8,009.10 / $8,009.10	Professional		$1,759.61	$8,009.10	$8,009.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $827.06 / $3,093.55 / $7,482.84	Professional		$827.06	$3,093.55	$7,482.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $513.19 / $513.19 / $513.19	Facility		$513.19	$513.19	$513.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $513.19 / $724.16 / $1,076.59	Professional		$513.19	$724.16	$1,076.59