Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,049.11 / $5,411.00 / $12,466.00	Facility		$1,049.11	$5,411.00	$12,466.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.61 / $951.33 / $1,547.38	Professional		$609.61	$951.33	$1,547.38
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 $622.94 / $814.31 / $1,932.62	Professional		$622.94	$814.31	$1,932.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,133.41 / $4,275.50 / $16,534.50	Facility		$1,133.41	$4,275.50	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,133.41 / $1,133.41 / $1,133.41	Professional		$1,133.41	$1,133.41	$1,133.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $913.52 / $913.52 / $7,227.90	Facility		$913.52	$913.52	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.11 / $1,361.24 / $3,146.41	Professional		$748.11	$1,361.24	$3,146.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,354.16 / $2,184.00	Facility		$319.00	$1,354.16	$2,184.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $915.61 / $1,090.84 / $1,632.51	Professional		$915.61	$1,090.84	$1,632.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $604.22 / $978.01 / $1,459.38	Professional		$604.22	$978.01	$1,459.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $913.52 / $7,227.90	Facility		$555.00	$913.52	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $812.86 / $1,361.24 / $2,872.56	Professional		$812.86	$1,361.24	$2,872.56
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 $699.72 / $987.07 / $2,325.98	Professional		$699.72	$987.07	$2,325.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,042.42 / $1,042.42 / $2,721.80	Facility		$1,042.42	$1,042.42	$2,721.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $604.22 / $1,042.42 / $1,702.64	Professional		$604.22	$1,042.42	$1,702.64