Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $996.56 / $3,996.00 / $10,296.00	Facility		$996.56	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.59 / $1,017.63 / $1,597.73	Professional		$712.59	$1,017.63	$1,597.73
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 $636.16 / $831.60 / $2,010.39	Professional		$636.16	$831.60	$2,010.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,159.38 / $1,159.38 / $37,499.62	Facility		$1,159.38	$1,159.38	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,159.38 / $1,159.38 / $1,159.38	Professional		$1,159.38	$1,159.38	$1,159.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $932.94 / $932.94 / $7,227.90	Facility		$932.94	$932.94	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $802.26 / $1,384.76 / $2,949.95	Professional		$802.26	$1,384.76	$2,949.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,125.00 / $2,127.15	Facility		$319.00	$1,125.00	$2,127.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $945.40 / $1,101.78 / $1,648.87	Professional		$945.40	$1,101.78	$1,648.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $666.15 / $934.98 / $1,496.88	Professional		$666.15	$934.98	$1,496.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $932.94 / $7,227.90	Facility		$555.00	$932.94	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $833.30 / $1,384.76 / $2,949.95	Professional		$833.30	$1,384.76	$2,949.95
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 $784.86 / $1,129.29 / $2,155.32	Professional		$784.86	$1,129.29	$2,155.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $934.98 / $934.98 / $2,646.11	Facility		$934.98	$934.98	$2,646.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $707.57 / $987.81 / $1,728.10	Professional		$707.57	$987.81	$1,728.10