Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,003.31 / $4,043.00 / $10,296.00	Facility		$1,003.31	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $861.52 / $1,003.31 / $1,847.15	Professional		$861.52	$1,003.31	$1,847.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,191.34 / $10,437.68 / $19,671.83	Facility		$7,191.34	$10,437.68	$19,671.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.01 / $929.43 / $2,227.52	Professional		$711.01	$929.43	$2,227.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,257.39 / $1,257.39 / $37,499.62	Facility		$1,257.39	$1,257.39	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,257.39 / $1,257.39 / $1,257.39	Professional		$1,257.39	$1,257.39	$1,257.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,031.27 / $1,031.27 / $7,227.90	Facility		$1,031.27	$1,031.27	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $960.75 / $1,628.45 / $3,391.32	Professional		$960.75	$1,628.45	$3,391.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,858.08 / $4,867.50	Facility		$319.00	$1,858.08	$4,867.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,064.75 / $1,200.15 / $1,890.87	Professional		$1,064.75	$1,200.15	$1,890.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.27 / $850.50 / $1,664.84	Professional		$501.27	$850.50	$1,664.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,031.27 / $7,227.90	Facility		$555.00	$1,031.27	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,034.09 / $1,746.56 / $3,558.74	Professional		$1,034.09	$1,746.56	$3,558.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,754.00 / $30,257.00	Facility		$1,749.00	$4,754.00	$30,257.00
United Facility/Professional Professional Modifier Low / Median / High Price $786.31 / $1,102.99 / $2,362.71	Professional		$786.31	$1,102.99	$2,362.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $969.07 / $969.07 / $2,881.38	Facility		$969.07	$969.07	$2,881.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $501.27 / $969.07 / $1,882.58	Professional		$501.27	$969.07	$1,882.58