Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.39 / $4,910.00 / $11,396.00	Facility		$1,013.39	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $848.48 / $996.69 / $3,155.28	Professional		$848.48	$996.69	$3,155.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,109.00 / $8,410.00	Facility		$2,393.00	$4,109.00	$8,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $714.95 / $934.58 / $2,282.51	Professional		$714.95	$934.58	$2,282.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,207.65 / $1,207.65 / $37,499.62	Facility		$1,207.65	$1,207.65	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,207.65 / $1,207.65 / $1,207.65	Professional		$1,207.65	$1,207.65	$1,207.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.18 / $996.18 / $7,227.90	Facility		$996.18	$996.18	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.38 / $1,477.35 / $4,367.91	Professional		$851.38	$1,477.35	$4,367.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $750.00 / $2,471.23	Facility		$319.00	$750.00	$2,471.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,056.83 / $1,171.22 / $1,900.11	Professional		$1,056.83	$1,171.22	$1,900.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $696.10 / $1,001.96 / $1,592.91	Professional		$696.10	$1,001.96	$1,592.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $996.18 / $74,999.25	Facility		$597.00	$996.18	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $886.23 / $1,580.19 / $4,226.97	Professional		$886.23	$1,580.19	$4,226.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $848.13 / $1,218.56 / $2,922.67	Professional		$848.13	$1,218.56	$2,922.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,001.96 / $1,001.96 / $3,460.73	Facility		$1,001.96	$1,001.96	$3,460.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $696.10 / $1,072.92 / $2,055.10	Professional		$696.10	$1,072.92	$2,055.10