Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,224.05 / $4,663.00 / $10,024.00	Facility		$1,224.05	$4,663.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $940.17 / $1,210.52 / $2,342.55	Professional		$940.17	$1,210.52	$2,342.55
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 $766.16 / $1,001.52 / $2,280.03	Professional		$766.16	$1,001.52	$2,280.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,322.33 / $1,990.00 / $8,917.50	Facility		$1,322.33	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,322.33 / $1,322.33 / $1,322.33	Professional		$1,322.33	$1,322.33	$1,322.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,064.03 / $1,064.03 / $5,246.94	Facility		$1,064.03	$1,064.03	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $810.76 / $1,638.87 / $3,656.20	Professional		$810.76	$1,638.87	$3,656.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,576.89 / $2,707.20	Facility		$319.00	$1,576.89	$2,707.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,064.11 / $1,270.27 / $1,901.03	Professional		$1,064.11	$1,270.27	$1,901.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $761.42 / $1,128.00 / $1,706.46	Professional		$761.42	$1,128.00	$1,706.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,064.03 / $5,246.94	Facility		$555.00	$1,064.03	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $962.99 / $1,605.06 / $3,552.08	Professional		$962.99	$1,605.06	$3,552.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,509.00	Facility		$2,337.00	$6,450.00	$12,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $761.35 / $1,129.30 / $2,618.94	Professional		$761.35	$1,129.30	$2,618.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,245.14 / $1,245.14 / $3,118.10	Facility		$1,245.14	$1,245.14	$3,118.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $779.98 / $1,245.14 / $1,975.23	Professional		$779.98	$1,245.14	$1,975.23