Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,188.04 / $5,164.00 / $11,161.00	Facility		$1,188.04	$5,164.00	$11,161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.13 / $1,024.20 / $1,651.36	Professional		$753.13	$1,024.20	$1,651.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $674.15 / $881.25 / $2,128.55	Professional		$674.15	$881.25	$2,128.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,225.27 / $1,225.27 / $12,319.50	Facility		$1,225.27	$1,225.27	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,225.27 / $1,225.27 / $1,225.27	Professional		$1,225.27	$1,225.27	$1,225.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $986.28 / $986.28 / $7,227.90	Facility		$986.28	$986.28	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.58 / $1,486.35 / $3,113.18	Professional		$849.58	$1,486.35	$3,113.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,468.48 / $2,595.19	Facility		$319.00	$1,468.48	$2,595.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $997.80 / $1,163.55 / $1,741.32	Professional		$997.80	$1,163.55	$1,741.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $703.62 / $839.44 / $1,581.08	Professional		$703.62	$839.44	$1,581.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $986.28 / $7,227.90	Facility		$555.00	$986.28	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $889.15 / $1,486.35 / $3,113.18	Professional		$889.15	$1,486.35	$3,113.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $3,963.00 / $8,208.00	Facility		$2,264.00	$3,963.00	$8,208.00
United Facility/Professional Professional Modifier Low / Median / High Price $858.39 / $1,195.76 / $2,469.71	Professional		$858.39	$1,195.76	$2,469.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $987.58 / $987.58 / $2,897.21	Facility		$987.58	$987.58	$2,897.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $761.88 / $1,043.19 / $1,825.31	Professional		$761.88	$1,043.19	$1,825.31