Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,056.44 / $4,409.00 / $10,024.00	Facility		$1,056.44	$4,409.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.97 / $1,040.17 / $1,782.43	Professional		$646.97	$1,040.17	$1,782.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.45 / $816.58 / $2,015.97	Professional		$630.45	$816.58	$2,015.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,187.93 / $1,990.00 / $8,917.50	Facility		$1,187.93	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,187.93 / $1,187.93 / $1,187.93	Professional		$1,187.93	$1,187.93	$1,187.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $955.43 / $955.43 / $5,246.94	Facility		$955.43	$955.43	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $728.61 / $1,452.18 / $3,284.83	Professional		$728.61	$1,452.18	$3,284.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,405.00 / $2,248.00	Facility		$319.00	$1,405.00	$2,248.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $954.32 / $1,140.41 / $1,706.68	Professional		$954.32	$1,140.41	$1,706.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $636.32 / $1,022.44 / $1,520.35	Professional		$636.32	$1,022.44	$1,520.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $955.43 / $5,246.94	Facility		$555.00	$955.43	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $863.86 / $1,421.94 / $3,032.66	Professional		$863.86	$1,421.94	$3,032.66
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 $719.47 / $1,009.20 / $2,339.12	Professional		$719.47	$1,009.20	$2,339.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,085.97 / $1,085.97 / $2,910.99	Facility		$1,085.97	$1,085.97	$2,910.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $636.32 / $1,085.97 / $1,773.77	Professional		$636.32	$1,085.97	$1,773.77