Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,277.36 / $3,917.00 / $9,038.00	Facility		$1,277.36	$3,917.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $898.92 / $1,240.66 / $2,490.05	Professional		$898.92	$1,240.66	$2,490.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $762.00 / $981.97 / $2,465.73	Professional		$762.00	$981.97	$2,465.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,430.71 / $1,430.71 / $6,213.00	Facility		$1,430.71	$1,430.71	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,430.71 / $1,430.71 / $1,430.71	Professional		$1,430.71	$1,430.71	$1,430.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,153.11 / $1,153.11 / $7,227.90	Facility		$1,153.11	$1,153.11	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $935.97 / $1,755.18 / $3,959.14	Professional		$935.97	$1,755.18	$3,959.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,066.42 / $2,595.76	Facility		$319.00	$1,066.42	$2,595.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,153.67 / $1,377.40 / $2,061.35	Professional		$1,153.67	$1,377.40	$2,061.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $767.43 / $1,234.91 / $1,836.30	Professional		$767.43	$1,234.91	$1,836.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,153.11 / $7,227.90	Facility		$555.00	$1,153.11	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,039.39 / $1,721.19 / $3,673.37	Professional		$1,039.39	$1,721.19	$3,673.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $831.17 / $1,236.98 / $2,826.59	Professional		$831.17	$1,236.98	$2,826.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,311.64 / $1,311.64 / $3,553.46	Facility		$1,311.64	$1,311.64	$3,553.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $767.43 / $1,311.64 / $2,142.38	Professional		$767.43	$1,311.64	$2,142.38