Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.13 / $4,392.00 / $10,296.00	Facility		$1,071.13	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.89 / $1,058.51 / $2,113.23	Professional		$766.89	$1,058.51	$2,113.23
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 $732.67 / $957.75 / $2,258.10	Professional		$732.67	$957.75	$2,258.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,257.01 / $1,257.01 / $37,499.62	Facility		$1,257.01	$1,257.01	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,257.01 / $1,257.01 / $1,257.01	Professional		$1,257.01	$1,257.01	$1,257.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,017.62 / $1,017.62 / $7,227.90	Facility		$1,017.62	$1,017.62	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.91 / $1,631.60 / $3,313.54	Professional		$892.91	$1,631.60	$3,313.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,088.00 / $2,392.17	Facility		$319.00	$1,088.00	$2,392.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,048.23 / $1,196.38 / $1,839.32	Professional		$1,048.23	$1,196.38	$1,839.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $722.12 / $832.18 / $1,639.81	Professional		$722.12	$832.18	$1,639.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,017.62 / $7,227.90	Facility		$555.00	$1,017.62	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $926.38 / $1,631.60 / $3,313.54	Professional		$926.38	$1,631.60	$3,313.54
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 $793.86 / $1,164.94 / $2,670.56	Professional		$793.86	$1,164.94	$2,670.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $956.06 / $956.06 / $2,868.07	Facility		$956.06	$956.06	$2,868.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $760.74 / $1,098.82 / $2,079.34	Professional		$760.74	$1,098.82	$2,079.34