Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,085.00 / $3,756.00 / $9,267.00	Facility		$1,085.00	$3,756.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.17 / $995.82 / $2,232.19	Professional		$766.17	$995.82	$2,232.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,574.00 / $7,688.00 / $14,242.23	Facility		$4,574.00	$7,688.00	$14,242.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $686.81 / $897.80 / $2,120.98	Professional		$686.81	$897.80	$2,120.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,183.39 / $1,183.39 / $37,499.62	Facility		$1,183.39	$1,183.39	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,183.39 / $1,183.39 / $1,183.39	Professional		$1,183.39	$1,183.39	$1,183.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $956.99 / $956.99 / $7,227.90	Facility		$956.99	$956.99	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $856.51 / $1,574.95 / $3,266.14	Professional		$856.51	$1,574.95	$3,266.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,024.00 / $2,247.26	Facility		$319.00	$1,024.00	$2,247.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $984.20 / $1,123.42 / $1,727.89	Professional		$984.20	$1,123.42	$1,727.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $678.58 / $783.21 / $1,540.09	Professional		$678.58	$783.21	$1,540.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $956.99 / $8,498.00	Facility		$597.00	$956.99	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $871.82 / $1,541.72 / $3,584.45	Professional		$871.82	$1,541.72	$3,584.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $11,176.00	Facility		$2,264.00	$5,735.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $749.06 / $1,081.98 / $2,526.80	Professional		$749.06	$1,081.98	$2,526.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $897.92 / $897.92 / $3,072.53	Facility		$897.92	$897.92	$3,072.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $732.82 / $1,032.00 / $1,952.90	Professional		$732.82	$1,032.00	$1,952.90