Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.55 / $4,648.00 / $11,519.00	Facility		$503.55	$4,648.00	$11,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.70 / $1,643.84 / $2,913.18	Professional		$370.70	$1,643.84	$2,913.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.00 / $8,134.00 / $16,083.00	Facility		$4,583.00	$8,134.00	$16,083.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,367.48 / $1,842.31 / $4,218.78	Professional		$1,367.48	$1,842.31	$4,218.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $516.80 / $1,990.00 / $16,534.50	Facility		$516.80	$1,990.00	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $516.80 / $516.80 / $2,739.82	Professional		$516.80	$516.80	$2,739.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $618.90 / $618.90 / $7,227.90	Facility		$618.90	$618.90	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.36 / $1,249.77 / $4,240.12	Professional		$303.36	$1,249.77	$4,240.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $440.80 / $2,038.74	Facility		$332.00	$440.80	$2,038.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,708.24 / $2,300.37 / $3,447.42	Professional		$1,708.24	$2,300.37	$3,447.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,313.61 / $1,722.70 / $3,053.51	Professional		$1,313.61	$1,722.70	$3,053.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $618.90 / $74,999.25	Facility		$555.00	$618.90	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $421.01 / $1,677.60 / $4,640.42	Professional		$421.01	$1,677.60	$4,640.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $6,700.00 / $16,243.00	Facility		$2,444.00	$6,700.00	$16,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,745.11 / $2,399.36 / $5,543.46	Professional		$1,745.11	$2,399.36	$5,543.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $456.57 / $456.57 / $605.54	Facility		$456.57	$456.57	$605.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $677.76 / $1,722.70 / $3,266.88	Professional		$677.76	$1,722.70	$3,266.88