Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.58 / $3,797.00 / $10,170.00	Facility		$1,104.58	$3,797.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $881.97 / $1,130.70 / $1,678.64	Professional		$881.97	$1,130.70	$1,678.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $713.82 / $933.11 / $2,128.33	Professional		$713.82	$933.11	$2,128.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,235.52 / $1,235.52 / $10,957.50	Facility		$1,235.52	$1,235.52	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,235.52 / $1,235.52 / $1,235.52	Professional		$1,235.52	$1,235.52	$1,235.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $993.86 / $993.86 / $7,227.90	Facility		$993.86	$993.86	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $802.26 / $1,506.52 / $3,415.39	Professional		$802.26	$1,506.52	$3,415.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $918.07 / $2,234.88	Facility		$319.00	$918.07	$2,234.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $993.28 / $1,186.40 / $1,775.52	Professional		$993.28	$1,186.40	$1,775.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.08 / $988.41 / $1,593.66	Professional		$711.08	$988.41	$1,593.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $993.86 / $23,612.00	Facility		$597.00	$993.86	$23,612.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $898.69 / $1,479.99 / $3,155.22	Professional		$898.69	$1,479.99	$3,155.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,062.00 / $5,181.00 / $11,098.00	Facility		$2,062.00	$5,181.00	$11,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $693.94 / $1,093.01 / $2,712.52	Professional		$693.94	$1,093.01	$2,712.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,162.83 / $1,162.83 / $2,903.64	Facility		$1,162.83	$1,162.83	$2,903.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $722.31 / $1,087.52 / $1,844.66	Professional		$722.31	$1,087.52	$1,844.66