Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $854.11 / $4,663.00 / $10,296.00	Facility		$854.11	$4,663.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.79 / $796.06 / $1,515.87	Professional		$634.79	$796.06	$1,515.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,264.00 / $12,538.00	Facility		$4,079.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.86 / $692.64 / $1,552.69	Professional		$529.86	$692.64	$1,552.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $922.08 / $1,990.00 / $8,917.50	Facility		$922.08	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $922.08 / $922.08 / $922.08	Professional		$922.08	$922.08	$922.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $745.63 / $745.63 / $5,246.94	Facility		$745.63	$745.63	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $632.61 / $1,008.98 / $2,350.50	Professional		$632.61	$1,008.98	$2,350.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $400.00 / $1,770.50	Facility		$250.00	$400.00	$1,770.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $708.20 / $944.27 / $1,361.32	Professional		$708.20	$944.27	$1,361.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.36 / $633.21 / $1,130.71	Professional		$393.36	$633.21	$1,130.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $745.63 / $74,999.25	Facility		$555.00	$745.63	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $632.61 / $1,048.16 / $2,350.50	Professional		$632.61	$1,048.16	$2,350.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $6,700.00 / $16,403.00	Facility		$2,444.00	$6,700.00	$16,403.00
United Facility/Professional Professional Modifier Low / Median / High Price $621.62 / $851.55 / $2,084.73	Professional		$621.62	$851.55	$2,084.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $829.34 / $829.34 / $2,167.67	Facility		$829.34	$829.34	$2,167.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $393.36 / $949.14 / $1,657.07	Professional		$393.36	$949.14	$1,657.07