Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,022.33 / $4,683.00 / $10,526.00	Facility		$1,022.33	$4,683.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.82 / $963.22 / $1,822.21	Professional		$782.82	$963.22	$1,822.21
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 $643.20 / $840.79 / $2,020.23	Professional		$643.20	$840.79	$2,020.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,140.53 / $1,140.53 / $37,499.62	Facility		$1,140.53	$1,140.53	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,140.53 / $1,140.53 / $1,140.53	Professional		$1,140.53	$1,140.53	$1,140.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $935.94 / $935.94 / $7,227.90	Facility		$935.94	$935.94	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $867.17 / $1,456.55 / $3,072.22	Professional		$867.17	$1,456.55	$3,072.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,685.55 / $3,870.00	Facility		$319.00	$1,685.55	$3,870.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $966.81 / $1,090.15 / $1,715.30	Professional		$966.81	$1,090.15	$1,715.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.31 / $866.85 / $1,513.08	Professional		$464.31	$866.85	$1,513.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $935.94 / $7,227.90	Facility		$555.00	$935.94	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $941.15 / $1,578.85 / $3,196.72	Professional		$941.15	$1,578.85	$3,196.72
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 $789.42 / $1,093.61 / $2,480.12	Professional		$789.42	$1,093.61	$2,480.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $880.73 / $880.73 / $2,611.01	Facility		$880.73	$880.73	$2,611.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $464.31 / $880.73 / $1,710.97	Professional		$464.31	$880.73	$1,710.97