Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.63 / $4,683.00 / $10,526.00	Facility		$1,013.63	$4,683.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.41 / $1,035.64 / $1,542.33	Professional		$754.41	$1,035.64	$1,542.33
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 $601.27 / $777.07 / $1,926.45	Professional		$601.27	$777.07	$1,926.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,130.25 / $2,390.00 / $10,957.50	Facility		$1,130.25	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,130.25 / $1,130.25 / $1,130.25	Professional		$1,130.25	$1,130.25	$1,130.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $909.85 / $909.85 / $6,511.02	Facility		$909.85	$909.85	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $693.81 / $1,419.79 / $3,128.86	Professional		$693.81	$1,419.79	$3,128.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,330.00 / $2,128.00	Facility		$319.00	$1,330.00	$2,128.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $927.66 / $1,113.40 / $1,629.32	Professional		$927.66	$1,113.40	$1,629.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $632.53 / $1,152.54 / $1,609.04	Professional		$632.53	$1,152.54	$1,609.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $909.85 / $6,511.02	Facility		$555.00	$909.85	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $822.01 / $1,359.80 / $3,106.35	Professional		$822.01	$1,359.80	$3,106.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $665.58 / $978.40 / $2,482.71	Professional		$665.58	$978.40	$2,482.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,066.11 / $1,066.11 / $2,627.43	Facility		$1,066.11	$1,066.11	$2,627.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $651.95 / $1,152.54 / $2,038.21	Professional		$651.95	$1,152.54	$2,038.21