Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,054.92 / $5,985.00 / $12,075.00	Facility		$1,054.92	$5,985.00	$12,075.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.65 / $1,054.92 / $1,990.12	Professional		$738.65	$1,054.92	$1,990.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,765.00 / $9,750.00 / $15,887.00	Facility		$4,765.00	$9,750.00	$15,887.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $877.89 / $1,101.97 / $2,635.82	Professional		$877.89	$1,101.97	$2,635.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,578.76 / $4,275.50 / $16,534.50	Facility		$1,578.76	$4,275.50	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,578.76 / $1,578.76 / $1,578.76	Professional		$1,578.76	$1,578.76	$1,578.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.92 / $632.92 / $7,227.90	Facility		$632.92	$632.92	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $1,645.80 / $4,002.37	Professional		$507.00	$1,645.80	$4,002.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,114.00 / $2,122.19	Facility		$332.00	$1,114.00	$2,122.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $654.84 / $759.44 / $1,136.54	Professional		$654.84	$759.44	$1,136.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.70 / $732.31 / $1,042.88	Professional		$474.70	$732.31	$1,042.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $632.92 / $7,227.90	Facility		$555.00	$632.92	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $680.31 / $1,617.90 / $4,002.37	Professional		$680.31	$1,617.90	$4,002.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $15,090.00	Facility		$2,337.00	$6,450.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $628.50 / $1,309.94 / $3,246.00	Professional		$628.50	$1,309.94	$3,246.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $599.17 / $599.17 / $3,897.06	Facility		$599.17	$599.17	$3,897.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $509.30 / $793.66 / $1,326.34	Professional		$509.30	$793.66	$1,326.34