Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.74 / $4,392.00 / $10,296.00	Facility		$1,000.74	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.54 / $937.59 / $1,757.21	Professional		$819.54	$937.59	$1,757.21
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 $674.71 / $881.98 / $2,105.48	Professional		$674.71	$881.98	$2,105.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,195.40 / $1,195.40 / $10,957.50	Facility		$1,195.40	$1,195.40	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,195.40 / $1,195.40 / $1,195.40	Professional		$1,195.40	$1,195.40	$1,195.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $980.66 / $980.66 / $5,246.94	Facility		$980.66	$980.66	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.46 / $1,481.48 / $3,221.87	Professional		$903.46	$1,481.48	$3,221.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,767.61 / $3,375.00	Facility		$319.00	$1,767.61	$3,375.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,013.51 / $1,142.48 / $1,798.80	Professional		$1,013.51	$1,142.48	$1,798.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.59 / $908.47 / $1,585.03	Professional		$484.59	$908.47	$1,585.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $980.66 / $5,246.94	Facility		$555.00	$980.66	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $985.05 / $1,600.00 / $3,221.87	Professional		$985.05	$1,600.00	$3,221.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $748.52 / $1,097.92 / $2,428.79	Professional		$748.52	$1,097.92	$2,428.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $922.62 / $922.62 / $2,733.47	Facility		$922.62	$922.62	$2,733.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $484.59 / $922.62 / $1,792.33	Professional		$484.59	$922.62	$1,792.33