Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.43 / $5,845.00 / $14,113.00	Facility		$1,203.43	$5,845.00	$14,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $847.52 / $1,118.49 / $1,995.21	Professional		$847.52	$1,118.49	$1,995.21
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 $728.45 / $952.23 / $2,289.32	Professional		$728.45	$952.23	$2,289.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,315.91 / $3,478.50 / $13,477.50	Facility		$1,315.91	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,315.91 / $1,315.91 / $1,315.91	Professional		$1,315.91	$1,315.91	$1,315.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,033.46 / $1,033.46 / $10,297.11	Facility		$1,033.46	$1,033.46	$10,297.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $704.01 / $1,599.28 / $3,334.96	Professional		$704.01	$1,599.28	$3,334.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,300.00 / $2,376.32	Facility		$332.00	$1,300.00	$2,376.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,056.14 / $1,234.82 / $1,847.97	Professional		$1,056.14	$1,234.82	$1,847.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $685.68 / $981.23 / $1,686.41	Professional		$685.68	$981.23	$1,686.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,033.46 / $10,297.11	Facility		$555.00	$1,033.46	$10,297.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $791.58 / $1,574.33 / $3,371.74	Professional		$791.58	$1,574.33	$3,371.74
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 $557.27 / $1,124.75 / $2,541.48	Professional		$557.27	$1,124.75	$2,541.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $981.23 / $981.23 / $2,986.01	Facility		$981.23	$981.23	$2,986.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $685.68 / $1,065.99 / $2,172.03	Professional		$685.68	$1,065.99	$2,172.03