Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,064.26 / $4,663.00 / $10,170.00	Facility		$1,064.26	$4,663.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.93 / $790.51 / $1,744.72	Professional		$725.93	$790.51	$1,744.72
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 $703.98 / $874.22 / $1,909.90	Professional		$703.98	$874.22	$1,909.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,230.97 / $1,990.00 / $8,917.50	Facility		$1,230.97	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,230.97 / $1,230.97 / $1,230.97	Professional		$1,230.97	$1,230.97	$1,230.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $991.33 / $991.33 / $991.33	Facility		$991.33	$991.33	$991.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $583.14 / $1,142.90 / $2,781.27	Professional		$583.14	$1,142.90	$2,781.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $941.76 / $2,322.86	Facility		$332.00	$941.76	$2,322.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,035.94 / $1,200.74 / $2,549.98	Professional		$1,035.94	$1,200.74	$2,549.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $661.14 / $822.47 / $1,617.28	Professional		$661.14	$822.47	$1,617.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $991.33 / $74,999.25	Facility		$555.00	$991.33	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $765.00 / $1,179.45 / $2,701.70	Professional		$765.00	$1,179.45	$2,701.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $4,114.00 / $8,208.00	Facility		$2,160.00	$4,114.00	$8,208.00
United Facility/Professional Professional Modifier Low / Median / High Price $595.29 / $972.22 / $2,236.23	Professional		$595.29	$972.22	$2,236.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $939.63 / $939.63 / $2,760.54	Facility		$939.63	$939.63	$2,760.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $661.14 / $939.63 / $2,412.06	Professional		$661.14	$939.63	$2,412.06