Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,027.96 / $3,938.00 / $9,038.00	Facility		$1,027.96	$3,938.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.75 / $963.65 / $1,527.32	Professional		$644.75	$963.65	$1,527.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $10,294.00 / $24,288.00	Facility		$4,989.00	$10,294.00	$24,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $633.66 / $828.33 / $1,934.63	Professional		$633.66	$828.33	$1,934.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,119.72 / $1,716.00 / $6,213.00	Facility		$1,119.72	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,119.72 / $1,119.72 / $1,119.72	Professional		$1,119.72	$1,119.72	$1,119.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.10 / $902.10 / $4,612.43	Facility		$902.10	$902.10	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.98 / $1,367.63 / $3,097.82	Professional		$686.98	$1,367.63	$3,097.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,274.00 / $2,038.40	Facility		$319.00	$1,274.00	$2,038.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $903.74 / $1,084.49 / $1,613.96	Professional		$903.74	$1,084.49	$1,613.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.96 / $966.89 / $1,436.46	Professional		$617.96	$966.89	$1,436.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $902.10 / $4,612.43	Facility		$555.00	$902.10	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $768.40 / $1,346.57 / $2,862.31	Professional		$768.40	$1,346.57	$2,862.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,719.00 / $17,688.00	Facility		$2,705.00	$7,719.00	$17,688.00
United Facility/Professional Professional Modifier Low / Median / High Price $651.11 / $952.44 / $2,216.90	Professional		$651.11	$952.44	$2,216.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,026.04 / $1,026.04 / $2,742.79	Facility		$1,026.04	$1,026.04	$2,742.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $617.96 / $1,026.04 / $1,675.89	Professional		$617.96	$1,026.04	$1,675.89