Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $849.73 / $3,499.00 / $9,038.00	Facility		$849.73	$3,499.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.01 / $764.14 / $1,414.24	Professional		$615.01	$764.14	$1,414.24
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 $650.64 / $782.86 / $1,721.48	Professional		$650.64	$782.86	$1,721.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $981.63 / $1,716.00 / $6,213.00	Facility		$981.63	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $981.63 / $981.63 / $1,193.14	Professional		$981.63	$981.63	$1,193.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,177.51 / $1,177.51 / $1,177.51	Facility		$1,177.51	$1,177.51	$1,177.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.73 / $1,022.49 / $2,215.19	Professional		$520.73	$1,022.49	$2,215.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $743.66 / $1,818.54	Facility		$332.00	$743.66	$1,818.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $991.97 / $1,149.79 / $2,420.13	Professional		$991.97	$1,149.79	$2,420.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $664.99 / $790.65 / $1,566.68	Professional		$664.99	$790.65	$1,566.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,177.51 / $74,999.25	Facility		$555.00	$1,177.51	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $595.75 / $1,068.60 / $2,477.71	Professional		$595.75	$1,068.60	$2,477.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,764.00 / $3,961.00 / $8,312.00	Facility		$1,764.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $522.04 / $920.97 / $2,158.01	Professional		$522.04	$920.97	$2,158.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $750.48 / $750.48 / $2,300.65	Facility		$750.48	$750.48	$2,300.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $664.99 / $837.79 / $2,038.30	Professional		$664.99	$837.79	$2,038.30