Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $4,828.00 / $10,674.00	Facility		$1,095.00	$4,828.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.19 / $720.45 / $1,587.35	Professional		$574.19	$720.45	$1,587.35
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 $615.22 / $763.99 / $1,715.53	Professional		$615.22	$763.99	$1,715.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,118.08 / $2,390.00 / $10,957.50	Facility		$1,118.08	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,118.08 / $1,118.08 / $1,118.08	Professional		$1,118.08	$1,118.08	$1,118.08
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 $531.66 / $1,032.92 / $2,512.62	Professional		$531.66	$1,032.92	$2,512.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $857.06 / $2,113.34	Facility		$332.00	$857.06	$2,113.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $942.77 / $1,092.75 / $2,319.96	Professional		$942.77	$1,092.75	$2,319.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $593.04 / $747.88 / $1,471.84	Professional		$593.04	$747.88	$1,471.84
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 $720.00 / $1,065.53 / $2,420.38	Professional		$720.00	$1,065.53	$2,420.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $11,176.00	Facility		$2,264.00	$5,963.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $547.82 / $934.85 / $2,002.99	Professional		$547.82	$934.85	$2,002.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $855.13 / $855.13 / $2,516.61	Facility		$855.13	$855.13	$2,516.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $593.04 / $855.13 / $2,147.42	Professional		$593.04	$855.13	$2,147.42