Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.58 / $4,545.00 / $10,170.00	Facility		$1,117.58	$4,545.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.13 / $839.30 / $2,617.17	Professional		$762.13	$839.30	$2,617.17
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 $736.90 / $915.10 / $2,025.07	Professional		$736.90	$915.10	$2,025.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,290.18 / $1,990.00 / $8,917.50	Facility		$1,290.18	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,290.18 / $1,290.18 / $1,290.18	Professional		$1,290.18	$1,290.18	$1,290.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,048.25 / $1,048.25 / $1,048.25	Facility		$1,048.25	$1,048.25	$1,048.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.45 / $1,204.06 / $3,201.52	Professional		$612.45	$1,204.06	$3,201.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $996.02 / $2,460.60	Facility		$332.00	$996.02	$2,460.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,095.61 / $1,269.93 / $2,701.19	Professional		$1,095.61	$1,269.93	$2,701.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $709.93 / $869.18 / $1,698.74	Professional		$709.93	$869.18	$1,698.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,048.25 / $74,999.25	Facility		$555.00	$1,048.25	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $851.58 / $1,248.29 / $3,047.97	Professional		$851.58	$1,248.29	$3,047.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $4,840.00 / $9,416.00	Facility		$1,925.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $571.41 / $1,002.40 / $2,359.57	Professional		$571.41	$1,002.40	$2,359.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $986.96 / $986.96 / $2,931.00	Facility		$986.96	$986.96	$2,931.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $709.93 / $986.96 / $2,585.14	Professional		$709.93	$986.96	$2,585.14