Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.57 / $4,648.00 / $10,686.00	Facility		$846.57	$4,648.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.65 / $919.48 / $2,217.39	Professional		$785.65	$919.48	$2,217.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,184.00 / $11,809.00	Facility		$3,263.00	$5,184.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $604.83 / $790.63 / $1,724.15	Professional		$604.83	$790.63	$1,724.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,023.13 / $1,023.13 / $8,917.50	Facility		$1,023.13	$1,023.13	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,023.13 / $1,023.13 / $1,023.13	Professional		$1,023.13	$1,023.13	$1,023.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $785.83 / $785.83 / $7,227.90	Facility		$785.83	$785.83	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $714.41 / $1,205.88 / $2,685.78	Professional		$714.41	$1,205.88	$2,685.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $811.03 / $4,036.78	Facility		$332.00	$811.03	$4,036.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $731.01 / $974.68 / $1,405.16	Professional		$731.01	$974.68	$1,405.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $507.86 / $681.23 / $1,167.23	Professional		$507.86	$681.23	$1,167.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $785.83 / $74,999.25	Facility		$555.00	$785.83	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $727.12 / $1,205.88 / $2,685.78	Professional		$727.12	$1,205.88	$2,685.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,176.00	Facility		$2,264.00	$5,248.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $702.06 / $934.62 / $2,145.15	Professional		$702.06	$934.62	$2,145.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $856.13 / $856.13 / $2,708.73	Facility		$856.13	$856.13	$2,708.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $507.86 / $977.23 / $1,710.59	Professional		$507.86	$977.23	$1,710.59