Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,201.89 / $4,648.00 / $10,024.00	Facility		$1,201.89	$4,648.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $781.64 / $850.08 / $2,393.44	Professional		$781.64	$850.08	$2,393.44
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 $757.44 / $930.71 / $2,045.73	Professional		$757.44	$930.71	$2,045.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,308.47 / $1,990.00 / $8,917.50	Facility		$1,308.47	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,308.47 / $1,308.47 / $1,308.47	Professional		$1,308.47	$1,308.47	$1,308.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,052.33 / $1,052.33 / $1,052.33	Facility		$1,052.33	$1,052.33	$1,052.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $618.76 / $1,204.78 / $3,130.36	Professional		$618.76	$1,204.78	$3,130.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $999.42 / $2,466.25	Facility		$332.00	$999.42	$2,466.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,099.35 / $1,274.26 / $2,707.39	Professional		$1,099.35	$1,274.26	$2,707.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $690.65 / $873.14 / $1,715.75	Professional		$690.65	$873.14	$1,715.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,052.33 / $74,999.25	Facility		$555.00	$1,052.33	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $818.21 / $1,262.58 / $3,000.29	Professional		$818.21	$1,262.58	$3,000.29
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 $593.83 / $1,096.10 / $2,355.71	Professional		$593.83	$1,096.10	$2,355.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $996.84 / $996.84 / $2,831.06	Facility		$996.84	$996.84	$2,831.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $690.65 / $996.84 / $2,510.57	Professional		$690.65	$996.84	$2,510.57