Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,037.91 / $4,683.00 / $10,526.00	Facility		$1,037.91	$4,683.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.74 / $1,004.26 / $1,799.01	Professional		$640.74	$1,004.26	$1,799.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $623.62 / $803.64 / $1,942.07	Professional		$623.62	$803.64	$1,942.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,169.74 / $2,390.00 / $10,957.50	Facility		$1,169.74	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,169.74 / $1,169.74 / $1,169.74	Professional		$1,169.74	$1,169.74	$1,169.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $932.42 / $932.42 / $6,511.02	Facility		$932.42	$932.42	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.80 / $1,358.43 / $2,967.41	Professional		$637.80	$1,358.43	$2,967.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $877.83 / $2,148.26	Facility		$319.00	$877.83	$2,148.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $954.78 / $1,114.79 / $1,668.34	Professional		$954.78	$1,114.79	$1,668.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $651.59 / $900.61 / $1,528.78	Professional		$651.59	$900.61	$1,528.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $932.42 / $6,511.02	Facility		$555.00	$932.42	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $711.00 / $1,358.43 / $2,971.37	Professional		$711.00	$1,358.43	$2,971.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $688.64 / $1,010.09 / $2,512.39	Professional		$688.64	$1,010.09	$2,512.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $900.61 / $900.61 / $2,511.34	Facility		$900.61	$900.61	$2,511.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $651.59 / $1,035.08 / $1,958.75	Professional		$651.59	$1,035.08	$1,958.75