Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.43 / $4,043.00 / $10,296.00	Facility		$983.43	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $919.22 / $1,105.02 / $2,368.81	Professional		$919.22	$1,105.02	$2,368.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,538.00	Facility		$4,100.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $684.33 / $894.55 / $2,009.94	Professional		$684.33	$894.55	$2,009.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,154.64 / $1,154.64 / $37,499.62	Facility		$1,154.64	$1,154.64	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,154.64 / $1,154.64 / $1,154.64	Professional		$1,154.64	$1,154.64	$1,154.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $945.38 / $945.38 / $7,227.90	Facility		$945.38	$945.38	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $836.93 / $1,419.47 / $3,036.87	Professional		$836.93	$1,419.47	$3,036.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,385.44 / $2,609.60	Facility		$319.00	$1,385.44	$2,609.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $880.95 / $1,174.59 / $1,693.38	Professional		$880.95	$1,174.59	$1,693.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.05 / $880.85 / $1,407.48	Professional		$612.05	$880.85	$1,407.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $945.38 / $74,999.25	Facility		$555.00	$945.38	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $861.30 / $1,394.89 / $3,036.87	Professional		$861.30	$1,394.89	$3,036.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $4,114.00 / $8,133.00	Facility		$1,479.00	$4,114.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $841.54 / $1,067.89 / $2,610.04	Professional		$841.54	$1,067.89	$2,610.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,032.34 / $1,032.34 / $3,445.51	Facility		$1,032.34	$1,032.34	$3,445.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $612.05 / $1,178.75 / $2,062.67	Professional		$612.05	$1,178.75	$2,062.67