Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.93 / $5,718.90 / $14,113.00	Facility		$1,045.93	$5,718.90	$14,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.00 / $1,048.11 / $2,007.20	Professional		$776.00	$1,048.11	$2,007.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,578.00 / $14,193.00	Facility		$4,568.00	$7,578.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $571.82 / $736.89 / $1,934.31	Professional		$571.82	$736.89	$1,934.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,068.51 / $1,068.51 / $12,319.50	Facility		$1,068.51	$1,068.51	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,068.51 / $1,068.51 / $1,068.51	Professional		$1,068.51	$1,068.51	$1,068.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $859.52 / $859.52 / $12,209.00	Facility		$859.52	$859.52	$12,209.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,342.79 / $2,953.10	Professional		$707.95	$1,342.79	$2,953.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,030.00 / $1,933.94	Facility		$332.00	$1,030.00	$1,933.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $859.53 / $1,026.25 / $1,535.84	Professional		$859.53	$1,026.25	$1,535.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $640.11 / $854.57 / $1,377.88	Professional		$640.11	$854.57	$1,377.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $859.52 / $12,209.00	Facility		$597.00	$859.52	$12,209.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $778.44 / $1,280.70 / $2,935.16	Professional		$778.44	$1,280.70	$2,935.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $6,762.00 / $16,243.00	Facility		$2,444.00	$6,762.00	$16,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $621.69 / $947.27 / $2,117.94	Professional		$621.69	$947.27	$2,117.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,005.38 / $1,005.38 / $2,642.10	Facility		$1,005.38	$1,005.38	$2,642.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $640.11 / $940.27 / $1,594.89	Professional		$640.11	$940.27	$1,594.89