Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,091.20 / $5,164.00 / $11,161.00	Facility		$1,091.20	$5,164.00	$11,161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.21 / $1,051.46 / $1,564.31	Professional		$698.21	$1,051.46	$1,564.31
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 $622.66 / $813.94 / $2,015.92	Professional		$622.66	$813.94	$2,015.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,135.39 / $1,135.39 / $37,499.62	Facility		$1,135.39	$1,135.39	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,135.39 / $1,135.39 / $1,135.39	Professional		$1,135.39	$1,135.39	$1,135.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $913.40 / $913.40 / $7,227.90	Facility		$913.40	$913.40	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $785.08 / $1,379.85 / $2,888.03	Professional		$785.08	$1,379.85	$2,888.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $845.38 / $2,082.67	Facility		$319.00	$845.38	$2,082.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $925.63 / $1,078.93 / $1,614.68	Professional		$925.63	$1,078.93	$1,614.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $652.36 / $915.63 / $1,465.90	Professional		$652.36	$915.63	$1,465.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $913.40 / $7,227.90	Facility		$555.00	$913.40	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $831.22 / $1,379.19 / $2,888.03	Professional		$831.22	$1,379.19	$2,888.03
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 $746.54 / $1,106.13 / $2,100.25	Professional		$746.54	$1,106.13	$2,100.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $915.63 / $915.63 / $2,489.14	Facility		$915.63	$915.63	$2,489.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $689.55 / $967.32 / $1,692.33	Professional		$689.55	$967.32	$1,692.33