Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,041.82 / $4,442.00 / $10,024.00	Facility		$1,041.82	$4,442.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.28 / $1,024.72 / $1,575.11	Professional		$676.28	$1,024.72	$1,575.11
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 $622.66 / $813.94 / $1,873.81	Professional		$622.66	$813.94	$1,873.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,077.72 / $1,077.72 / $37,499.62	Facility		$1,077.72	$1,077.72	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,077.72 / $1,077.72 / $1,077.72	Professional		$1,077.72	$1,077.72	$1,077.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $867.66 / $867.66 / $7,227.90	Facility		$867.66	$867.66	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $717.44 / $1,354.96 / $2,985.55	Professional		$717.44	$1,354.96	$2,985.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,240.00 / $1,984.00	Facility		$319.00	$1,240.00	$1,984.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $871.30 / $1,038.78 / $1,554.59	Professional		$871.30	$1,038.78	$1,554.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.50 / $931.32 / $1,383.24	Professional		$600.50	$931.32	$1,383.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $867.66 / $7,227.90	Facility		$555.00	$867.66	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $782.95 / $1,298.24 / $2,750.59	Professional		$782.95	$1,298.24	$2,750.59
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 $636.04 / $955.90 / $2,369.66	Professional		$636.04	$955.90	$2,369.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $988.03 / $988.03 / $2,792.46	Facility		$988.03	$988.03	$2,792.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $600.50 / $988.03 / $1,613.80	Professional		$600.50	$988.03	$1,613.80