Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $972.84 / $4,043.00 / $10,296.00	Facility		$972.84	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $885.93 / $1,096.90 / $1,976.99	Professional		$885.93	$1,096.90	$1,976.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,750.00 / $16,411.00	Facility		$4,989.00	$9,750.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $703.44 / $919.53 / $1,927.79	Professional		$703.44	$919.53	$1,927.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,157.30 / $1,157.30 / $37,499.62	Facility		$1,157.30	$1,157.30	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,157.30 / $1,157.30 / $1,157.30	Professional		$1,157.30	$1,157.30	$1,157.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $927.55 / $927.55 / $7,227.90	Facility		$927.55	$927.55	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.69 / $1,314.72 / $3,011.09	Professional		$812.69	$1,314.72	$3,011.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,390.00 / $5,736.78	Facility		$332.00	$1,390.00	$5,736.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $856.43 / $1,141.91 / $1,646.25	Professional		$856.43	$1,141.91	$1,646.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.90 / $772.62 / $1,379.68	Professional		$556.90	$772.62	$1,379.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $927.55 / $74,999.25	Facility		$555.00	$927.55	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $841.24 / $1,342.74 / $3,011.09	Professional		$841.24	$1,342.74	$3,011.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $704.99 / $1,042.14 / $2,461.87	Professional		$704.99	$1,042.14	$2,461.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,011.95 / $1,011.95 / $2,811.33	Facility		$1,011.95	$1,011.95	$2,811.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $556.90 / $1,155.44 / $2,021.93	Professional		$556.90	$1,155.44	$2,021.93