Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,131.00 / $4,828.00 / $10,674.00	Facility		$1,131.00	$4,828.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $623.33 / $813.42 / $1,786.85	Professional		$623.33	$813.42	$1,786.85
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 $691.49 / $858.72 / $1,853.50	Professional		$691.49	$858.72	$1,853.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,262.84 / $2,390.00 / $10,957.50	Facility		$1,262.84	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,262.84 / $1,262.84 / $1,262.84	Professional		$1,262.84	$1,262.84	$1,262.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,014.77 / $1,014.77 / $1,014.77	Facility		$1,014.77	$1,014.77	$1,014.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $600.49 / $1,166.43 / $2,830.63	Professional		$600.49	$1,166.43	$2,830.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $843.00 / $2,378.94	Facility		$332.00	$843.00	$2,378.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,061.17 / $1,254.10 / $2,611.56	Professional		$1,061.17	$1,254.10	$2,611.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $643.83 / $841.56 / $1,658.52	Professional		$643.83	$841.56	$1,658.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,014.77 / $74,999.25	Facility		$555.00	$1,014.77	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $835.00 / $1,195.41 / $2,723.30	Professional		$835.00	$1,195.41	$2,723.30
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 $606.63 / $1,057.31 / $2,293.86	Professional		$606.63	$1,057.31	$2,293.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $963.59 / $963.59 / $2,725.87	Facility		$963.59	$963.59	$2,725.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $643.83 / $963.59 / $2,375.23	Professional		$643.83	$963.59	$2,375.23