Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,092.41 / $4,392.00 / $10,296.00	Facility		$1,092.41	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.93 / $1,081.01 / $2,163.48	Professional		$775.93	$1,081.01	$2,163.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,578.00 / $14,193.00	Facility		$4,568.00	$7,578.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $863.99 / $1,098.49 / $2,299.06	Professional		$863.99	$1,098.49	$2,299.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,281.56 / $1,281.56 / $37,499.62	Facility		$1,281.56	$1,281.56	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,281.56 / $1,281.56 / $1,281.56	Professional		$1,281.56	$1,281.56	$1,281.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,036.51 / $1,036.51 / $7,227.90	Facility		$1,036.51	$1,036.51	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $1,670.85 / $3,381.16	Professional		$900.00	$1,670.85	$3,381.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,095.00 / $2,439.02	Facility		$319.00	$1,095.00	$2,439.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,068.52 / $1,219.41 / $1,875.34	Professional		$1,068.52	$1,219.41	$1,875.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $734.54 / $849.50 / $1,669.94	Professional		$734.54	$849.50	$1,669.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,036.51 / $7,227.90	Facility		$555.00	$1,036.51	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $941.54 / $1,660.11 / $3,381.16	Professional		$941.54	$1,660.11	$3,381.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $800.14 / $1,148.30 / $3,244.11	Professional		$800.14	$1,148.30	$3,244.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $973.63 / $973.63 / $2,910.08	Facility		$973.63	$973.63	$2,910.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $769.23 / $1,119.01 / $2,117.56	Professional		$769.23	$1,119.01	$2,117.56