Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.46 / $3,659.00 / $10,024.00	Facility		$891.46	$3,659.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.10 / $798.37 / $1,463.75	Professional		$666.10	$798.37	$1,463.75
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 $695.72 / $837.09 / $1,829.72	Professional		$695.72	$837.09	$1,829.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,035.40 / $1,990.00 / $8,917.50	Facility		$1,035.40	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,035.40 / $1,035.40 / $1,242.60	Professional		$1,035.40	$1,035.40	$1,242.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,223.23 / $1,223.23 / $1,223.23	Facility		$1,223.23	$1,223.23	$1,223.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.66 / $1,078.84 / $2,544.59	Professional		$550.66	$1,078.84	$2,544.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $769.92 / $1,886.13	Facility		$332.00	$769.92	$1,886.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,007.86 / $1,170.15 / $2,462.69	Professional		$1,007.86	$1,170.15	$2,462.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $714.13 / $951.56 / $1,637.80	Professional		$714.13	$951.56	$1,637.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,223.23 / $74,999.25	Facility		$555.00	$1,223.23	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $620.39 / $1,144.84 / $2,717.48	Professional		$620.39	$1,144.84	$2,717.48
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 $598.22 / $1,051.31 / $2,743.14	Professional		$598.22	$1,051.31	$2,743.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $794.28 / $794.28 / $2,568.87	Facility		$794.28	$794.28	$2,568.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $714.13 / $951.56 / $2,210.23	Professional		$714.13	$951.56	$2,210.23