Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,487.37 / $2,558.28 / $4,239.00	Facility		$1,487.37	$2,558.28	$4,239.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $58.00 / $1,487.37	Professional		$58.00	$58.00	$1,487.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,487.37 / $1,487.37 / $3,867.16	Facility		$1,487.37	$1,487.37	$3,867.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $594.95 / $1,991.66	Professional		$37.28	$594.95	$1,991.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $892.42 / $1,487.37 / $1,487.37	Facility		$892.42	$1,487.37	$1,487.37
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,085.78 / $1,487.37 / $1,487.37	Professional		$1,085.78	$1,487.37	$1,487.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,039.33 / $3,012.32 / $3,859.98	Facility		$1,039.33	$3,012.32	$3,859.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.11 / $1,708.99 / $7,169.12	Professional		$870.11	$1,708.99	$7,169.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,487.37 / $3,346.58	Facility		$332.00	$1,487.37	$3,346.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $544.38 / $877.55 / $2,721.89	Professional		$544.38	$877.55	$2,721.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.55 / $31.55 / $31.55	Facility		$31.55	$31.55	$31.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $1,115.53 / $1,487.37	Professional		$31.55	$1,115.53	$1,487.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $3,142.07 / $3,970.69	Facility		$254.50	$3,142.07	$3,970.69
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $966.79 / $1,421.18 / $3,063.98	Professional		$966.79	$1,421.18	$3,063.98
United Facility/Professional Professional Modifier Low / Median / High Price $624.70 / $818.05 / $2,184.54	Professional		$624.70	$818.05	$2,184.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.39 / $1,576.61 / $1,576.61	Facility		$20.39	$1,576.61	$1,576.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $1,279.14 / $1,750.63	Professional		$40.29	$1,279.14	$1,750.63