Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.58 / $4,663.00 / $10,024.00	Facility		$1,210.58	$4,663.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $654.83 / $827.37 / $1,821.84	Professional		$654.83	$827.37	$1,821.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,142.00 / $9,074.00	Facility		$2,393.00	$4,142.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.80 / $883.94 / $1,985.04	Professional		$711.80	$883.94	$1,985.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,286.36 / $1,990.00 / $8,917.50	Facility		$1,286.36	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,286.36 / $1,286.36 / $1,286.36	Professional		$1,286.36	$1,286.36	$1,286.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,035.23 / $1,035.23 / $1,035.23	Facility		$1,035.23	$1,035.23	$1,035.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $610.46 / $1,187.15 / $2,901.94	Professional		$610.46	$1,187.15	$2,901.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $983.54 / $2,425.52	Facility		$332.00	$983.54	$2,425.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,078.01 / $1,254.01 / $2,662.68	Professional		$1,078.01	$1,254.01	$2,662.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $668.75 / $858.88 / $1,690.20	Professional		$668.75	$858.88	$1,690.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,035.23 / $74,999.25	Facility		$555.00	$1,035.23	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $827.00 / $1,230.63 / $2,797.30	Professional		$827.00	$1,230.63	$2,797.30
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 $590.15 / $1,038.93 / $2,236.27	Professional		$590.15	$1,038.93	$2,236.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $982.00 / $982.00 / $2,818.53	Facility		$982.00	$982.00	$2,818.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $668.75 / $982.00 / $2,453.88	Professional		$668.75	$982.00	$2,453.88