Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $841.23 / $3,599.00 / $8,442.00	Facility		$841.23	$3,599.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $619.77 / $730.73 / $1,502.21	Professional		$619.77	$730.73	$1,502.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,142.00 / $9,074.00	Facility		$2,393.00	$4,142.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $631.66 / $768.25 / $1,639.18	Professional		$631.66	$768.25	$1,639.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $975.24 / $1,716.00 / $6,213.00	Facility		$975.24	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $975.24 / $975.24 / $1,146.16	Professional		$975.24	$975.24	$1,146.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,191.29 / $1,191.29 / $1,191.29	Facility		$1,191.29	$1,191.29	$1,191.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.35 / $987.78 / $2,128.03	Professional		$516.35	$987.78	$2,128.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $744.59 / $1,827.59	Facility		$332.00	$744.59	$1,827.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $950.09 / $1,103.31 / $2,325.55	Professional		$950.09	$1,103.31	$2,325.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $679.75 / $785.46 / $1,495.45	Professional		$679.75	$785.46	$1,495.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,191.29 / $74,999.25	Facility		$555.00	$1,191.29	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $601.48 / $1,033.04 / $2,245.35	Professional		$601.48	$1,033.04	$2,245.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,883.00 / $3,670.00 / $7,203.00	Facility		$1,883.00	$3,670.00	$7,203.00
United Facility/Professional Professional Modifier Low / Median / High Price $539.50 / $941.08 / $2,049.80	Professional		$539.50	$941.08	$2,049.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $747.71 / $747.71 / $2,496.66	Facility		$747.71	$747.71	$2,496.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $683.38 / $868.85 / $2,202.44	Professional		$683.38	$868.85	$2,202.44