Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,161.79 / $5,630.00 / $13,548.00	Facility		$1,161.79	$5,630.00	$13,548.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.82 / $1,020.00 / $2,176.50	Professional		$735.82	$1,020.00	$2,176.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $10,294.00 / $23,873.00	Facility		$4,989.00	$10,294.00	$23,873.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.35 / $859.55 / $2,266.12	Professional		$663.35	$859.55	$2,266.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,197.13 / $2,644.00 / $16,534.50	Facility		$1,197.13	$2,644.00	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,197.13 / $1,197.13 / $1,197.13	Professional		$1,197.13	$1,197.13	$1,197.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $964.36 / $12,209.00 / $34,562.00	Facility		$964.36	$12,209.00	$34,562.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.62 / $1,519.74 / $3,131.09	Professional		$831.62	$1,519.74	$3,131.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,348.00 / $2,399.51	Facility		$332.00	$1,348.00	$2,399.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $976.34 / $1,138.33 / $1,703.58	Professional		$976.34	$1,138.33	$1,703.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $734.48 / $965.84 / $1,546.29	Professional		$734.48	$965.84	$1,546.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $964.36 / $34,562.00	Facility		$597.00	$964.36	$34,562.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $875.83 / $1,454.75 / $3,108.00	Professional		$875.83	$1,454.75	$3,108.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,736.00 / $6,587.00 / $13,172.00	Facility		$2,736.00	$6,587.00	$13,172.00
United Facility/Professional Professional Modifier Low / Median / High Price $824.31 / $1,164.46 / $2,215.69	Professional		$824.31	$1,164.46	$2,215.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $965.84 / $965.84 / $2,863.90	Facility		$965.84	$965.84	$2,863.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $785.06 / $1,020.58 / $1,785.14	Professional		$785.06	$1,020.58	$1,785.14