Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,016.84 / $3,996.00 / $10,296.00	Facility		$1,016.84	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.84 / $1,058.51 / $1,619.93	Professional		$672.84	$1,058.51	$1,619.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,221.66 / $11,909.00	Facility		$3,283.00	$5,221.66	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $688.50 / $900.01 / $2,054.67	Professional		$688.50	$900.01	$2,054.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,188.90 / $1,188.90 / $37,499.62	Facility		$1,188.90	$1,188.90	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,188.90 / $1,188.90 / $1,188.90	Professional		$1,188.90	$1,188.90	$1,188.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $957.91 / $957.91 / $7,227.90	Facility		$957.91	$957.91	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $790.66 / $1,493.59 / $3,289.62	Professional		$790.66	$1,493.59	$3,289.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,398.00 / $2,236.80	Facility		$319.00	$1,398.00	$2,236.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $958.54 / $1,144.66 / $1,713.04	Professional		$958.54	$1,144.66	$1,713.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $649.05 / $1,026.25 / $1,525.58	Professional		$649.05	$1,026.25	$1,525.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $957.91 / $7,227.90	Facility		$555.00	$957.91	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $864.29 / $1,428.22 / $3,032.44	Professional		$864.29	$1,428.22	$3,032.44
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 $690.59 / $1,027.77 / $2,610.59	Professional		$690.59	$1,027.77	$2,610.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,089.70 / $1,089.70 / $2,942.61	Facility		$1,089.70	$1,089.70	$2,942.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $649.05 / $1,089.70 / $1,779.87	Professional		$649.05	$1,089.70	$1,779.87