Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,027.55 / $4,648.00 / $9,523.00	Facility		$1,027.55	$4,648.00	$9,523.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.41 / $1,010.60 / $1,908.63	Professional		$748.41	$1,010.60	$1,908.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $636.73 / $832.33 / $1,902.28	Professional		$636.73	$832.33	$1,902.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,103.59 / $1,990.00 / $8,917.50	Facility		$1,103.59	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,103.59 / $1,103.59 / $1,103.59	Professional		$1,103.59	$1,103.59	$1,103.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $888.07 / $888.07 / $5,246.94	Facility		$888.07	$888.07	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.79 / $1,337.29 / $3,053.39	Professional		$676.79	$1,337.29	$3,053.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,125.00 / $2,001.24	Facility		$319.00	$1,125.00	$2,001.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $889.44 / $1,061.24 / $1,588.20	Professional		$889.44	$1,061.24	$1,588.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $635.91 / $942.38 / $1,425.19	Professional		$635.91	$942.38	$1,425.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $888.07 / $5,246.94	Facility		$555.00	$888.07	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $802.48 / $1,325.27 / $2,820.37	Professional		$802.48	$1,325.27	$2,820.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $11,098.00	Facility		$2,264.00	$5,735.00	$11,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $638.42 / $938.40 / $2,337.75	Professional		$638.42	$938.40	$2,337.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,039.90 / $1,039.90 / $2,637.97	Facility		$1,039.90	$1,039.90	$2,637.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $658.38 / $1,039.90 / $1,649.65	Professional		$658.38	$1,039.90	$1,649.65