Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.89 / $4,910.00 / $11,396.00	Facility		$911.89	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.28 / $1,028.18 / $1,874.06	Professional		$836.28	$1,028.18	$1,874.06
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 $642.46 / $839.82 / $1,913.45	Professional		$642.46	$839.82	$1,913.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,082.47 / $1,082.47 / $37,499.62	Facility		$1,082.47	$1,082.47	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,082.47 / $1,082.47 / $1,082.47	Professional		$1,082.47	$1,082.47	$1,082.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $869.70 / $869.70 / $7,227.90	Facility		$869.70	$869.70	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $766.08 / $1,265.74 / $2,808.52	Professional		$766.08	$1,265.74	$2,808.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,004.00 / $2,010.53	Facility		$319.00	$1,004.00	$2,010.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $804.21 / $1,072.28 / $1,545.88	Professional		$804.21	$1,072.28	$1,545.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $561.55 / $782.52 / $1,294.14	Professional		$561.55	$782.52	$1,294.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $869.70 / $74,999.25	Facility		$555.00	$869.70	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $796.77 / $1,400.78 / $2,745.68	Professional		$796.77	$1,400.78	$2,745.68
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 $766.15 / $1,035.65 / $2,331.76	Professional		$766.15	$1,035.65	$2,331.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $949.22 / $949.22 / $1,574.98	Facility		$949.22	$949.22	$1,574.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $561.55 / $921.77 / $1,573.73	Professional		$561.55	$921.77	$1,573.73