Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $967.08 / $4,545.00 / $9,868.00	Facility		$967.08	$4,545.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.32 / $718.40 / $1,625.09	Professional		$645.32	$718.40	$1,625.09
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 $677.33 / $846.66 / $1,733.92	Professional		$677.33	$846.66	$1,733.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,063.45 / $1,990.00 / $8,917.50	Facility		$1,063.45	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,063.45 / $1,063.45 / $1,063.45	Professional		$1,063.45	$1,063.45	$1,063.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $901.69 / $901.69 / $901.69	Facility		$901.69	$901.69	$901.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.07 / $1,014.83 / $2,656.22	Professional		$530.07	$1,014.83	$2,656.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $856.88 / $2,113.67	Facility		$332.00	$856.88	$2,113.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $939.41 / $1,092.52 / $2,320.34	Professional		$939.41	$1,092.52	$2,320.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $582.48 / $747.91 / $1,470.68	Professional		$582.48	$747.91	$1,470.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $901.69 / $74,999.25	Facility		$555.00	$901.69	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $684.17 / $1,025.22 / $2,636.84	Professional		$684.17	$1,025.22	$2,636.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,764.00 / $3,961.00 / $8,312.00	Facility		$1,764.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.42 / $882.24 / $1,961.72	Professional		$486.42	$882.24	$1,961.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $854.46 / $854.46 / $2,371.42	Facility		$854.46	$854.46	$2,371.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $582.48 / $854.46 / $2,123.41	Professional		$582.48	$854.46	$2,123.41