Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.74 / $4,910.00 / $11,396.00	Facility		$974.74	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $883.03 / $1,099.13 / $1,976.35	Professional		$883.03	$1,099.13	$1,976.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,264.00 / $12,538.00	Facility		$4,079.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $687.43 / $898.61 / $1,911.20	Professional		$687.43	$898.61	$1,911.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,156.16 / $1,156.16 / $37,499.62	Facility		$1,156.16	$1,156.16	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,156.16 / $1,156.16 / $1,156.16	Professional		$1,156.16	$1,156.16	$1,156.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $929.47 / $929.47 / $7,227.90	Facility		$929.47	$929.47	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $813.52 / $1,487.37 / $3,007.06	Professional		$813.52	$1,487.37	$3,007.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,239.72 / $2,145.67	Facility		$319.00	$1,239.72	$2,145.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $953.63 / $1,239.86 / $1,649.78	Professional		$953.63	$1,239.86	$1,649.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $594.89 / $774.21 / $1,313.59	Professional		$594.89	$774.21	$1,313.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $929.47 / $74,999.25	Facility		$555.00	$929.47	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $843.07 / $1,528.06 / $4,246.87	Professional		$843.07	$1,528.06	$4,246.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $4,114.00 / $8,133.00	Facility		$1,479.00	$4,114.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $840.96 / $1,118.66 / $2,645.67	Professional		$840.96	$1,118.66	$2,645.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,014.03 / $1,014.03 / $2,006.99	Facility		$1,014.03	$1,014.03	$2,006.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $594.89 / $1,157.80 / $1,953.79	Professional		$594.89	$1,157.80	$1,953.79