Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,213.08 / $4,663.00 / $10,024.00	Facility		$1,213.08	$4,663.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.41 / $842.93 / $1,856.42	Professional		$687.41	$842.93	$1,856.42
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 $709.61 / $881.22 / $1,992.89	Professional		$709.61	$881.22	$1,992.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,303.53 / $1,990.00 / $8,917.50	Facility		$1,303.53	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,303.53 / $1,303.53 / $1,303.53	Professional		$1,303.53	$1,303.53	$1,303.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,069.83 / $1,069.83 / $1,069.83	Facility		$1,069.83	$1,069.83	$1,069.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.64 / $1,212.66 / $2,939.41	Professional		$626.64	$1,212.66	$2,939.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,016.78 / $2,507.31	Facility		$332.00	$1,016.78	$2,507.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,118.46 / $1,296.39 / $2,752.47	Professional		$1,118.46	$1,296.39	$2,752.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.10 / $887.38 / $1,710.52	Professional		$720.10	$887.38	$1,710.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,069.83 / $74,999.25	Facility		$555.00	$1,069.83	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $833.50 / $1,246.52 / $2,820.83	Professional		$833.50	$1,246.52	$2,820.83
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 $611.16 / $1,100.50 / $2,351.63	Professional		$611.16	$1,100.50	$2,351.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $993.80 / $993.80 / $3,055.87	Facility		$993.80	$993.80	$3,055.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $720.10 / $993.80 / $2,642.58	Professional		$720.10	$993.80	$2,642.58