Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.81 / $3,599.00 / $8,442.00	Facility		$850.81	$3,599.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.53 / $689.98 / $1,515.98	Professional		$561.53	$689.98	$1,515.98
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 $626.10 / $756.71 / $1,547.04	Professional		$626.10	$756.71	$1,547.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,026.77 / $1,716.00 / $6,213.00	Facility		$1,026.77	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,026.77 / $1,026.77 / $1,129.42	Professional		$1,026.77	$1,026.77	$1,129.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,231.81 / $1,231.81 / $1,231.81	Facility		$1,231.81	$1,231.81	$1,231.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.13 / $961.31 / $2,197.37	Professional		$502.13	$961.31	$2,197.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $780.87 / $1,927.78	Facility		$332.00	$780.87	$1,927.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $931.70 / $1,083.64 / $2,301.30	Professional		$931.70	$1,083.64	$2,301.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $595.19 / $741.18 / $1,462.61	Professional		$595.19	$741.18	$1,462.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,231.81 / $74,999.25	Facility		$555.00	$1,231.81	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $545.60 / $994.16 / $2,205.30	Professional		$545.60	$994.16	$2,205.30
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 $531.67 / $884.25 / $2,006.78	Professional		$531.67	$884.25	$2,006.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $778.57 / $778.57 / $2,212.58	Facility		$778.57	$778.57	$2,212.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $595.19 / $849.77 / $2,051.69	Professional		$595.19	$849.77	$2,051.69