Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $3,731.00 / $9,038.00	Facility		$1,089.00	$3,731.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.12 / $1,020.15 / $1,630.63	Professional		$797.12	$1,020.15	$1,630.63
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 $684.28 / $894.49 / $2,089.67	Professional		$684.28	$894.49	$2,089.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,209.39 / $1,254.00 / $4,050.00	Facility		$1,209.39	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,209.39 / $1,209.39 / $1,209.39	Professional		$1,209.39	$1,209.39	$1,209.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $943.61 / $943.61 / $3,479.91	Facility		$943.61	$943.61	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.68 / $1,502.94 / $3,085.37	Professional		$655.68	$1,502.94	$3,085.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $886.90 / $2,170.96	Facility		$332.00	$886.90	$2,170.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $975.59 / $1,177.14 / $1,689.19	Professional		$975.59	$1,177.14	$1,689.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $622.74 / $896.14 / $1,540.17	Professional		$622.74	$896.14	$1,540.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $943.61 / $3,479.91	Facility		$555.00	$943.61	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $744.45 / $1,478.52 / $3,074.18	Professional		$744.45	$1,478.52	$3,074.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $502.74 / $1,031.68 / $2,345.75	Professional		$502.74	$1,031.68	$2,345.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $896.14 / $896.14 / $2,821.23	Facility		$896.14	$896.14	$2,821.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $622.74 / $974.39 / $1,983.68	Professional		$622.74	$974.39	$1,983.68