Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,001.83 / $4,442.00 / $10,024.00	Facility		$1,001.83	$4,442.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.21 / $959.36 / $2,108.56	Professional		$782.21	$959.36	$2,108.56
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 $642.36 / $839.69 / $2,018.56	Professional		$642.36	$839.69	$2,018.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,139.61 / $1,139.61 / $37,499.62	Facility		$1,139.61	$1,139.61	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,139.61 / $1,139.61 / $1,139.61	Professional		$1,139.61	$1,139.61	$1,139.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $935.22 / $935.22 / $7,227.90	Facility		$935.22	$935.22	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.88 / $1,456.30 / $3,069.12	Professional		$866.88	$1,456.30	$3,069.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,684.63 / $3,870.00	Facility		$319.00	$1,684.63	$3,870.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $966.45 / $1,208.97 / $2,255.67	Professional		$966.45	$1,208.97	$2,255.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.85 / $771.61 / $1,512.51	Professional		$460.85	$771.61	$1,512.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $935.22 / $7,227.90	Facility		$555.00	$935.22	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $940.84 / $1,569.55 / $3,216.06	Professional		$940.84	$1,569.55	$3,216.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $25,716.00	Facility		$2,264.00	$5,735.00	$25,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $720.58 / $1,048.76 / $2,268.64	Professional		$720.58	$1,048.76	$2,268.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $880.40 / $880.40 / $2,571.31	Facility		$880.40	$880.40	$2,571.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $460.85 / $880.40 / $1,710.33	Professional		$460.85	$880.40	$1,710.33