Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,054.31 / $5,164.00 / $11,161.00	Facility		$1,054.31	$5,164.00	$11,161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.30 / $1,020.61 / $1,607.39	Professional		$717.30	$1,020.61	$1,607.39
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 $640.38 / $837.11 / $2,022.86	Professional		$640.38	$837.11	$2,022.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,167.09 / $1,167.09 / $37,499.62	Facility		$1,167.09	$1,167.09	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,167.09 / $1,167.09 / $1,167.09	Professional		$1,167.09	$1,167.09	$1,167.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $938.86 / $938.86 / $7,227.90	Facility		$938.86	$938.86	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.24 / $1,380.14 / $2,969.41	Professional		$807.24	$1,380.14	$2,969.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,386.00 / $2,430.40	Facility		$319.00	$1,386.00	$2,430.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $955.39 / $1,160.36 / $1,659.03	Professional		$955.39	$1,160.36	$1,659.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $670.24 / $1,062.24 / $1,654.20	Professional		$670.24	$1,062.24	$1,654.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $938.86 / $7,227.90	Facility		$555.00	$938.86	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $845.21 / $1,398.46 / $2,969.41	Professional		$845.21	$1,398.46	$2,969.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $11,176.00	Facility		$2,264.00	$5,735.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $811.41 / $1,144.81 / $2,355.94	Professional		$811.41	$1,144.81	$2,355.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $940.73 / $940.73 / $2,765.81	Facility		$940.73	$940.73	$2,765.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $670.24 / $1,137.04 / $2,095.42	Professional		$670.24	$1,137.04	$2,095.42