Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.98 / $4,051.00 / $11,609.00	Facility		$516.98	$4,051.00	$11,609.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.60 / $1,200.48 / $2,075.35	Professional		$410.60	$1,200.48	$2,075.35
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 $962.94 / $1,294.69 / $2,893.18	Professional		$962.94	$1,294.69	$2,893.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $537.23 / $1,990.00 / $8,917.50	Facility		$537.23	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $537.23 / $537.23 / $1,909.43	Professional		$537.23	$537.23	$1,909.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $650.40 / $650.40 / $5,246.94	Facility		$650.40	$650.40	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.30 / $1,086.94 / $2,922.28	Professional		$326.30	$1,086.94	$2,922.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $457.59 / $1,029.58	Facility		$319.00	$457.59	$1,029.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,192.41 / $1,573.00 / $2,391.19	Professional		$1,192.41	$1,573.00	$2,391.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $872.05 / $1,204.86 / $2,085.06	Professional		$872.05	$1,204.86	$2,085.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $650.40 / $74,999.25	Facility		$555.00	$650.40	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $467.71 / $1,438.76 / $3,323.52	Professional		$467.71	$1,438.76	$3,323.52
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 $1,239.33 / $1,690.76 / $3,842.20	Professional		$1,239.33	$1,690.76	$3,842.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $480.65 / $480.65 / $1,355.21	Facility		$480.65	$480.65	$1,355.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $872.05 / $1,373.70 / $2,412.27	Professional		$872.05	$1,373.70	$2,412.27