Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $939.04 / $3,951.00 / $10,965.00	Facility		$939.04	$3,951.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $807.12 / $1,029.18 / $1,699.89	Professional		$807.12	$1,029.18	$1,699.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,040.00 / $10,294.00 / $19,351.80	Facility		$5,040.00	$10,294.00	$19,351.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $661.89 / $821.95 / $1,798.83	Professional		$661.89	$821.95	$1,798.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,076.35 / $1,076.35 / $1,076.35	Facility		$1,076.35	$1,076.35	$1,076.35
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,076.35 / $1,076.35 / $1,076.35	Professional		$1,076.35	$1,076.35	$1,076.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $876.74 / $876.74 / $7,227.90	Facility		$876.74	$876.74	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.43 / $1,353.66 / $2,771.45	Professional		$763.43	$1,353.66	$2,771.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,349.94 / $5,806.41	Facility		$332.00	$1,349.94	$5,806.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $809.96 / $1,079.95 / $1,556.93	Professional		$809.96	$1,079.95	$1,556.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.21 / $785.45 / $1,309.64	Professional		$600.21	$785.45	$1,309.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $876.74 / $74,999.25	Facility		$555.00	$876.74	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $739.86 / $1,235.88 / $2,683.45	Professional		$739.86	$1,235.88	$2,683.45
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 $772.73 / $1,019.62 / $2,478.82	Professional		$772.73	$1,019.62	$2,478.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $960.58 / $960.58 / $1,087.01	Facility		$960.58	$960.58	$1,087.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $600.21 / $960.58 / $1,515.15	Professional		$600.21	$960.58	$1,515.15