Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.24 / $4,545.00 / $10,024.00	Facility		$1,047.24	$4,545.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.11 / $1,016.59 / $1,788.47	Professional		$767.11	$1,016.59	$1,788.47
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 $608.98 / $784.77 / $2,082.66	Professional		$608.98	$784.77	$2,082.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,196.58 / $1,990.00 / $8,917.50	Facility		$1,196.58	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,196.58 / $1,196.58 / $1,196.58	Professional		$1,196.58	$1,196.58	$1,196.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $939.51 / $939.51 / $5,246.94	Facility		$939.51	$939.51	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $642.07 / $1,448.85 / $3,036.28	Professional		$642.07	$1,448.85	$3,036.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,404.00 / $2,310.12	Facility		$332.00	$1,404.00	$2,310.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $958.50 / $1,120.01 / $1,676.15	Professional		$958.50	$1,120.01	$1,676.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $624.70 / $891.56 / $1,532.31	Professional		$624.70	$891.56	$1,532.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $939.51 / $5,246.94	Facility		$555.00	$939.51	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $717.33 / $1,428.76 / $3,036.28	Professional		$717.33	$1,428.76	$3,036.28
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 $496.52 / $1,032.34 / $2,534.90	Professional		$496.52	$1,032.34	$2,534.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $891.56 / $891.56 / $2,691.62	Facility		$891.56	$891.56	$2,691.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $624.70 / $966.87 / $1,973.55	Professional		$624.70	$966.87	$1,973.55