Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.16 / $4,409.00 / $10,024.00	Facility		$816.16	$4,409.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.18 / $607.08 / $1,239.07	Professional		$506.18	$607.08	$1,239.07
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 $528.96 / $656.88 / $1,459.37	Professional		$528.96	$656.88	$1,459.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $938.06 / $1,990.00 / $8,917.50	Facility		$938.06	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $938.06 / $938.06 / $938.06	Professional		$938.06	$938.06	$938.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.08 / $761.08 / $761.08	Facility		$761.08	$761.08	$761.08
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $75.72 / $75.72 / $75.72	Facility	AS	$75.72	$75.72	$75.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.33 / $868.86 / $2,070.04	Professional		$441.33	$868.86	$2,070.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $722.32 / $1,774.91	Facility		$332.00	$722.32	$1,774.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.55 / $920.96 / $1,948.46	Professional		$794.55	$920.96	$1,948.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $519.28 / $632.52 / $1,247.41	Professional		$519.28	$632.52	$1,247.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $761.08 / $74,999.25	Facility		$555.00	$761.08	$74,999.25
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $75.72 / $75.72 / $75.72	Facility	AS	$75.72	$75.72	$75.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $598.57 / $888.86 / $2,081.42	Professional		$598.57	$888.86	$2,081.42
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 $426.72 / $788.45 / $1,718.06	Professional		$426.72	$788.45	$1,718.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $724.74 / $724.74 / $2,067.98	Facility		$724.74	$724.74	$2,067.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $519.28 / $724.74 / $1,882.70	Professional		$519.28	$724.74	$1,882.70