Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,033.95 / $4,442.00 / $10,024.00	Facility		$1,033.95	$4,442.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.86 / $1,033.95 / $1,539.86	Professional		$813.86	$1,033.95	$1,539.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $651.91 / $852.19 / $2,013.91	Professional		$651.91	$852.19	$2,013.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,128.30 / $1,990.00 / $8,917.50	Facility		$1,128.30	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,128.30 / $1,128.30 / $1,128.30	Professional		$1,128.30	$1,128.30	$1,128.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.70 / $908.70 / $5,246.94	Facility		$908.70	$908.70	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $692.35 / $1,380.51 / $3,123.39	Professional		$692.35	$1,380.51	$3,123.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,125.00 / $2,050.11	Facility		$319.00	$1,125.00	$2,050.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $911.16 / $1,086.89 / $1,626.59	Professional		$911.16	$1,086.89	$1,626.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $667.49 / $965.15 / $1,459.26	Professional		$667.49	$965.15	$1,459.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $908.70 / $5,246.94	Facility		$555.00	$908.70	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $820.57 / $1,380.51 / $3,071.31	Professional		$820.57	$1,380.51	$3,071.31
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 $644.86 / $977.08 / $2,224.51	Professional		$644.86	$977.08	$2,224.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,064.76 / $1,064.76 / $2,680.37	Facility		$1,064.76	$1,064.76	$2,680.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $667.49 / $1,064.76 / $1,689.09	Professional		$667.49	$1,064.76	$1,689.09