Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,064.29 / $4,648.00 / $10,526.00	Facility		$1,064.29	$4,648.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $723.39 / $1,016.13 / $2,154.19	Professional		$723.39	$1,016.13	$2,154.19
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 $646.57 / $845.20 / $2,053.15	Professional		$646.57	$845.20	$2,053.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,176.83 / $2,644.00 / $8,917.50	Facility		$1,176.83	$2,644.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,176.83 / $1,176.83 / $1,176.83	Professional		$1,176.83	$1,176.83	$1,176.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $946.97 / $946.97 / $7,227.90	Facility		$946.97	$946.97	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.98 / $1,401.82 / $2,992.86	Professional		$816.98	$1,401.82	$2,992.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,411.55 / $2,560.00	Facility		$319.00	$1,411.55	$2,560.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $959.54 / $1,118.44 / $1,673.81	Professional		$959.54	$1,118.44	$1,673.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.21 / $806.73 / $1,519.47	Professional		$676.21	$806.73	$1,519.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $946.97 / $7,227.90	Facility		$555.00	$946.97	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $861.42 / $1,502.26 / $3,079.59	Professional		$861.42	$1,502.26	$3,079.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $11,176.00	Facility		$2,264.00	$5,735.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $809.91 / $1,145.96 / $2,187.05	Professional		$809.91	$1,145.96	$2,187.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $949.09 / $949.09 / $2,768.46	Facility		$949.09	$949.09	$2,768.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $735.13 / $1,002.75 / $1,754.18	Professional		$735.13	$1,002.75	$1,754.18