Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.44 / $3,599.00 / $8,442.00	Facility		$921.44	$3,599.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.29 / $780.63 / $1,678.15	Professional		$637.29	$780.63	$1,678.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,196.00 / $11,909.00	Facility		$3,263.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $680.62 / $828.08 / $1,708.85	Professional		$680.62	$828.08	$1,708.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,059.88 / $1,716.00 / $6,213.00	Facility		$1,059.88	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,059.88 / $1,059.88 / $1,238.93	Professional		$1,059.88	$1,059.88	$1,238.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,278.85 / $1,278.85 / $1,278.85	Facility		$1,278.85	$1,278.85	$1,278.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.23 / $1,048.16 / $2,362.87	Professional		$555.23	$1,048.16	$2,362.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $805.66 / $1,970.96	Facility		$332.00	$805.66	$1,970.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,018.06 / $1,180.03 / $2,484.84	Professional		$1,018.06	$1,180.03	$2,484.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $693.76 / $812.80 / $1,612.84	Professional		$693.76	$812.80	$1,612.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,278.85 / $74,999.25	Facility		$555.00	$1,278.85	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $630.20 / $1,097.58 / $2,417.92	Professional		$630.20	$1,097.58	$2,417.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,248.00 / $11,200.00	Facility		$2,160.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $594.07 / $1,028.25 / $2,304.40	Professional		$594.07	$1,028.25	$2,304.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $813.43 / $813.43 / $2,672.08	Facility		$813.43	$813.43	$2,672.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $693.76 / $937.06 / $2,290.67	Professional		$693.76	$937.06	$2,290.67