Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,033.15 / $4,392.00 / $10,296.00	Facility		$1,033.15	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $881.14 / $1,047.47 / $2,067.25	Professional		$881.14	$1,047.47	$2,067.25
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 $711.85 / $930.53 / $2,220.89	Professional		$711.85	$930.53	$2,220.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,215.85 / $1,215.85 / $37,499.62	Facility		$1,215.85	$1,215.85	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,215.85 / $1,215.85 / $1,215.85	Professional		$1,215.85	$1,215.85	$1,215.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $983.30 / $983.30 / $7,227.90	Facility		$983.30	$983.30	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $878.16 / $1,600.19 / $3,208.80	Professional		$878.16	$1,600.19	$3,208.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,300.00 / $2,304.16	Facility		$319.00	$1,300.00	$2,304.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,008.36 / $1,151.46 / $1,771.64	Professional		$1,008.36	$1,151.46	$1,771.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $698.96 / $818.72 / $1,694.37	Professional		$698.96	$818.72	$1,694.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $983.30 / $7,227.90	Facility		$555.00	$983.30	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $895.43 / $1,598.23 / $3,208.80	Professional		$895.43	$1,598.23	$3,208.80
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 $771.89 / $1,157.83 / $2,541.75	Professional		$771.89	$1,157.83	$2,541.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $813.76 / $813.76 / $3,151.43	Facility		$813.76	$813.76	$3,151.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $691.70 / $1,057.86 / $2,001.86	Professional		$691.70	$1,057.86	$2,001.86