Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.52 / $3,317.00 / $9,267.00	Facility		$278.52	$3,317.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.57 / $1,446.56 / $4,233.20	Professional		$198.57	$1,446.56	$4,233.20
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 $1,387.31 / $2,554.39 / $5,838.69	Professional		$1,387.31	$2,554.39	$5,838.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $290.49 / $1,990.00 / $37,499.62	Facility		$290.49	$1,990.00	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $290.49 / $290.49 / $2,599.92	Professional		$290.49	$290.49	$2,599.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $349.47 / $349.47 / $14,648.00	Facility		$349.47	$349.47	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.42 / $732.46 / $4,664.82	Professional		$172.42	$732.46	$4,664.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $212.65 / $310.79 / $1,159.90	Facility		$212.65	$310.79	$1,159.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,555.45 / $1,789.14 / $2,690.93	Professional		$1,555.45	$1,789.14	$2,690.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,233.89 / $1,921.17 / $2,549.19	Professional		$1,233.89	$1,921.17	$2,549.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $349.47 / $597.00 / $74,999.25	Facility		$349.47	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $238.57 / $2,001.29 / $5,049.68	Professional		$238.57	$2,001.29	$5,049.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,577.85 / $2,664.66 / $6,663.84	Professional		$1,577.85	$2,664.66	$6,663.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $256.12 / $256.12 / $331.49	Facility		$256.12	$256.12	$331.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $371.06 / $1,921.17 / $2,602.36	Professional		$371.06	$1,921.17	$2,602.36