Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,018.10 / $3,996.00 / $10,296.00	Facility		$1,018.10	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $728.34 / $1,058.01 / $1,632.88	Professional		$728.34	$1,058.01	$1,632.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,697.00	Facility		$4,100.00	$7,264.00	$12,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.51 / $850.35 / $2,060.09	Professional		$650.51	$850.35	$2,060.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,183.72 / $1,183.72 / $37,499.62	Facility		$1,183.72	$1,183.72	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,183.72 / $1,183.72 / $1,183.72	Professional		$1,183.72	$1,183.72	$1,183.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $953.40 / $953.40 / $7,227.90	Facility		$953.40	$953.40	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $820.13 / $1,448.73 / $3,008.77	Professional		$820.13	$1,448.73	$3,008.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,397.83 / $2,380.80	Facility		$319.00	$1,397.83	$2,380.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $966.20 / $1,126.03 / $1,685.16	Professional		$966.20	$1,126.03	$1,685.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $680.78 / $955.51 / $1,529.74	Professional		$680.78	$955.51	$1,529.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $953.40 / $7,227.90	Facility		$555.00	$953.40	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $851.74 / $1,511.38 / $3,101.52	Professional		$851.74	$1,511.38	$3,101.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $803.23 / $1,146.30 / $2,379.10	Professional		$803.23	$1,146.30	$2,379.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $955.51 / $955.51 / $2,722.73	Facility		$955.51	$955.51	$2,722.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $727.57 / $1,009.54 / $1,766.04	Professional		$727.57	$1,009.54	$1,766.04