Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.00 / $5,894.00 / $11,996.00	Facility		$1,548.00	$5,894.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.44 / $449.42 / $3,106.07	Professional		$172.44	$449.42	$3,106.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,644.00 / $4,960.00 / $11,448.00	Facility		$2,644.00	$4,960.00	$11,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.49 / $735.58 / $1,321.26	Professional		$557.49	$735.58	$1,321.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $490.43 / $1,641.56 / $37,499.62	Facility		$490.43	$1,641.56	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $490.43 / $1,641.56 / $2,131.98	Professional		$490.43	$1,641.56	$2,131.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.31 / $702.31 / $7,227.90	Facility		$702.31	$702.31	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,926.41 / $2,926.41 / $2,926.41	Professional		$2,926.41	$2,926.41	$2,926.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $683.22 / $1,700.80	Facility		$319.00	$683.22	$1,700.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $926.10 / $1,188.48 / $1,711.10	Professional		$926.10	$1,188.48	$1,711.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.20 / $855.06 / $1,151.63	Professional		$528.20	$855.06	$1,151.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $702.31 / $74,999.25	Facility		$555.00	$702.31	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,926.41 / $2,926.41 / $2,926.41	Professional		$2,926.41	$2,926.41	$2,926.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $531.34 / $988.38 / $2,647.30	Professional		$531.34	$988.38	$2,647.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $627.64 / $789.52 / $789.52	Facility		$627.64	$789.52	$789.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $504.58 / $887.55 / $1,308.96	Professional		$504.58	$887.55	$1,308.96