Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,036.76 / $3,978.00 / $9,038.00	Facility		$1,036.76	$3,978.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.50 / $1,032.95 / $1,536.24	Professional		$808.50	$1,032.95	$1,536.24
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 $653.04 / $853.66 / $1,947.38	Professional		$653.04	$853.66	$1,947.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,128.16 / $1,716.00 / $6,213.00	Facility		$1,128.16	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,128.16 / $1,128.16 / $1,128.16	Professional		$1,128.16	$1,128.16	$1,128.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.87 / $908.87 / $4,612.43	Facility		$908.87	$908.87	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.15 / $1,394.53 / $3,119.17	Professional		$691.15	$1,394.53	$3,119.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $925.00 / $2,045.30	Facility		$319.00	$925.00	$2,045.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $909.02 / $1,085.48 / $1,624.48	Professional		$909.02	$1,085.48	$1,624.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.47 / $904.15 / $1,457.82	Professional		$650.47	$904.15	$1,457.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $908.87 / $4,612.43	Facility		$555.00	$908.87	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $821.49 / $1,354.44 / $2,884.87	Professional		$821.49	$1,354.44	$2,884.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $648.51 / $1,002.95 / $2,479.89	Professional		$648.51	$1,002.95	$2,479.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,063.71 / $1,063.71 / $2,656.79	Facility		$1,063.71	$1,063.71	$2,656.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $661.56 / $976.74 / $1,687.42	Professional		$661.56	$976.74	$1,687.42