Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.03 / $4,029.00 / $11,396.00	Facility		$524.03	$4,029.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.97 / $1,399.74 / $2,626.99	Professional		$388.97	$1,399.74	$2,626.99
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 $850.67 / $1,181.49 / $3,487.90	Professional		$850.67	$1,181.49	$3,487.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $476.92 / $476.92 / $10,957.50	Facility		$476.92	$476.92	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $476.92 / $476.92 / $1,928.37	Professional		$476.92	$476.92	$1,928.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.40 / $582.40 / $7,227.90	Facility		$582.40	$582.40	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.65 / $1,228.06 / $3,431.36	Professional		$356.65	$1,228.06	$3,431.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $533.00 / $902.00	Facility		$319.00	$533.00	$902.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,220.32 / $1,627.36 / $2,472.38	Professional		$1,220.32	$1,627.36	$2,472.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $936.05 / $1,485.33 / $2,159.03	Professional		$936.05	$1,485.33	$2,159.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $434.94 / $1,660.15 / $3,717.37	Professional		$434.94	$1,660.15	$3,717.37
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 $1,275.74 / $1,842.91 / $3,929.31	Professional		$1,275.74	$1,842.91	$3,929.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $421.46 / $421.46 / $877.25	Facility		$421.46	$421.46	$877.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $842.10 / $1,422.43 / $2,309.89	Professional		$842.10	$1,422.43	$2,309.89