Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,199.58 / $5,824.00 / $14,926.00	Facility		$1,199.58	$5,824.00	$14,926.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $871.69 / $1,119.78 / $2,393.66	Professional		$871.69	$1,119.78	$2,393.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $750.40 / $980.92 / $2,290.23	Professional		$750.40	$980.92	$2,290.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,323.74 / $3,478.50 / $13,477.50	Facility		$1,323.74	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,323.74 / $1,323.74 / $1,323.74	Professional		$1,323.74	$1,323.74	$1,323.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,037.52 / $1,037.52 / $10,297.11	Facility		$1,037.52	$1,037.52	$10,297.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $720.53 / $1,648.89 / $3,378.23	Professional		$720.53	$1,648.89	$3,378.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,566.44 / $2,859.30	Facility		$332.00	$1,566.44	$2,859.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,058.57 / $1,241.17 / $1,857.48	Professional		$1,058.57	$1,241.17	$1,857.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $709.88 / $984.04 / $1,691.25	Professional		$709.88	$984.04	$1,691.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,037.52 / $10,297.11	Facility		$555.00	$1,037.52	$10,297.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $812.51 / $1,608.06 / $3,401.51	Professional		$812.51	$1,608.06	$3,401.51
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 $575.73 / $1,142.06 / $2,846.09	Professional		$575.73	$1,142.06	$2,846.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $984.04 / $984.04 / $3,125.49	Facility		$984.04	$984.04	$3,125.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $709.88 / $1,071.46 / $2,178.26	Professional		$709.88	$1,071.46	$2,178.26