Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $972.05 / $4,043.00 / $10,296.00	Facility		$972.05	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $910.23 / $1,096.01 / $1,961.35	Professional		$910.23	$1,096.01	$1,961.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,123.00 / $9,074.00	Facility		$2,393.00	$4,123.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $686.02 / $896.77 / $2,030.26	Professional		$686.02	$896.77	$2,030.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,153.26 / $1,153.26 / $37,499.62	Facility		$1,153.26	$1,153.26	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,153.26 / $1,153.26 / $1,153.26	Professional		$1,153.26	$1,153.26	$1,153.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $927.49 / $927.49 / $7,227.90	Facility		$927.49	$927.49	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.20 / $1,458.17 / $2,998.27	Professional		$840.20	$1,458.17	$2,998.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,153.00 / $2,140.83	Facility		$319.00	$1,153.00	$2,140.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $856.33 / $1,141.78 / $1,646.06	Professional		$856.33	$1,141.78	$1,646.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $689.74 / $894.73 / $1,310.93	Professional		$689.74	$894.73	$1,310.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $927.49 / $74,999.25	Facility		$555.00	$927.49	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $860.56 / $1,389.82 / $2,998.27	Professional		$860.56	$1,389.82	$2,998.27
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 $825.25 / $1,075.29 / $2,576.85	Professional		$825.25	$1,075.29	$2,576.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,012.29 / $1,012.29 / $1,800.81	Facility		$1,012.29	$1,012.29	$1,800.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $689.74 / $1,012.29 / $1,678.29	Professional		$689.74	$1,012.29	$1,678.29