Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,183.82 / $4,770.00 / $10,024.00	Facility		$1,183.82	$4,770.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.54 / $805.17 / $2,302.73	Professional		$739.54	$805.17	$2,302.73
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 $717.20 / $890.64 / $1,949.61	Professional		$717.20	$890.64	$1,949.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,253.14 / $1,990.00 / $8,917.50	Facility		$1,253.14	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,253.14 / $1,253.14 / $1,253.14	Professional		$1,253.14	$1,253.14	$1,253.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,009.94 / $1,009.94 / $1,009.94	Facility		$1,009.94	$1,009.94	$1,009.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.96 / $1,155.57 / $2,838.99	Professional		$593.96	$1,155.57	$2,838.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $959.49 / $2,367.50	Facility		$332.00	$959.49	$2,367.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,055.44 / $1,223.34 / $2,598.98	Professional		$1,055.44	$1,223.34	$2,598.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $675.31 / $837.77 / $1,646.26	Professional		$675.31	$837.77	$1,646.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,009.94 / $74,999.25	Facility		$555.00	$1,009.94	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $790.51 / $1,203.93 / $2,751.08	Professional		$790.51	$1,203.93	$2,751.08
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 $619.67 / $1,005.32 / $2,356.26	Professional		$619.67	$1,005.32	$2,356.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $956.47 / $956.47 / $2,733.86	Facility		$956.47	$956.47	$2,733.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $675.31 / $956.47 / $2,428.46	Professional		$675.31	$956.47	$2,428.46