Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,034.06 / $4,043.00 / $10,296.00	Facility		$1,034.06	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $892.82 / $1,038.57 / $2,262.09	Professional		$892.82	$1,038.57	$2,262.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $717.70 / $938.18 / $1,999.92	Professional		$717.70	$938.18	$1,999.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,231.16 / $1,231.16 / $10,957.50	Facility		$1,231.16	$1,231.16	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,231.16 / $1,231.16 / $1,231.16	Professional		$1,231.16	$1,231.16	$1,231.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $887.41 / $887.41 / $7,227.90	Facility		$887.41	$887.41	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $806.76 / $1,480.40 / $3,153.48	Professional		$806.76	$1,480.40	$3,153.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,376.15 / $6,045.34	Facility		$332.00	$1,376.15	$6,045.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $825.69 / $1,100.92 / $1,587.15	Professional		$825.69	$1,100.92	$1,587.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.55 / $827.81 / $1,318.28	Professional		$557.55	$827.81	$1,318.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $887.41 / $74,999.25	Facility		$555.00	$887.41	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $870.07 / $1,423.58 / $3,153.48	Professional		$870.07	$1,423.58	$3,153.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $5,963.00	Facility		$1,348.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $793.06 / $1,124.48 / $2,593.61	Professional		$793.06	$1,124.48	$2,593.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $966.92 / $966.92 / $2,974.16	Facility		$966.92	$966.92	$2,974.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $557.55 / $1,103.63 / $1,931.95	Professional		$557.55	$1,103.63	$1,931.95