Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,049.93 / $5,576.00 / $13,260.00	Facility		$1,049.93	$5,576.00	$13,260.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.44 / $980.14 / $2,052.35	Professional		$691.44	$980.14	$2,052.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,578.00 / $14,193.00	Facility		$4,568.00	$7,578.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $583.78 / $752.30 / $1,973.55	Professional		$583.78	$752.30	$1,973.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,129.63 / $2,644.00 / $12,319.50	Facility		$1,129.63	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,129.63 / $1,129.63 / $1,129.63	Professional		$1,129.63	$1,129.63	$1,129.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.60 / $908.60 / $12,209.00	Facility		$908.60	$908.60	$12,209.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.35 / $1,362.58 / $2,870.36	Professional		$796.35	$1,362.58	$2,870.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,140.00 / $2,064.35	Facility		$332.00	$1,140.00	$2,064.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $917.49 / $1,070.45 / $1,601.98	Professional		$917.49	$1,070.45	$1,601.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.18 / $1,157.03 / $1,928.06	Professional		$720.18	$1,157.03	$1,928.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $908.60 / $12,209.00	Facility		$597.00	$908.60	$12,209.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $824.03 / $1,362.58 / $2,945.92	Professional		$824.03	$1,362.58	$2,945.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $7,391.00 / $16,403.00	Facility		$2,444.00	$7,391.00	$16,403.00
United Facility/Professional Professional Modifier Low / Median / High Price $786.04 / $1,106.22 / $2,116.07	Professional		$786.04	$1,106.22	$2,116.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $907.61 / $907.61 / $2,821.71	Facility		$907.61	$907.61	$2,821.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $720.18 / $1,157.03 / $2,070.96	Professional		$720.18	$1,157.03	$2,070.96