Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $4,648.00 / $10,526.00	Facility		$1,095.00	$4,648.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.87 / $1,021.21 / $2,060.21	Professional		$729.87	$1,021.21	$2,060.21
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 $672.46 / $879.04 / $2,009.99	Professional		$672.46	$879.04	$2,009.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,162.32 / $1,162.32 / $37,499.62	Facility		$1,162.32	$1,162.32	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,162.32 / $1,162.32 / $1,162.32	Professional		$1,162.32	$1,162.32	$1,162.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $936.55 / $936.55 / $7,227.90	Facility		$936.55	$936.55	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $773.22 / $1,459.22 / $3,217.16	Professional		$773.22	$1,459.22	$3,217.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,363.00 / $2,180.80	Facility		$319.00	$1,363.00	$2,180.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $939.68 / $1,120.73 / $1,677.24	Professional		$939.68	$1,120.73	$1,677.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $639.07 / $1,004.80 / $1,492.11	Professional		$639.07	$1,004.80	$1,492.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $936.55 / $7,227.90	Facility		$555.00	$936.55	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $845.83 / $1,400.12 / $2,972.48	Professional		$845.83	$1,400.12	$2,972.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $11,176.00	Facility		$2,264.00	$5,735.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $730.09 / $1,032.66 / $2,576.67	Professional		$730.09	$1,032.66	$2,576.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,065.79 / $1,065.79 / $2,873.27	Facility		$1,065.79	$1,065.79	$2,873.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $639.07 / $1,065.79 / $1,740.82	Professional		$639.07	$1,065.79	$1,740.82