Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $901.19 / $4,910.00 / $11,396.00	Facility		$901.19	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $846.59 / $976.45 / $1,841.86	Professional		$846.59	$976.45	$1,841.86
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 $606.53 / $792.85 / $1,833.28	Professional		$606.53	$792.85	$1,833.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,021.35 / $1,021.35 / $8,917.50	Facility		$1,021.35	$1,021.35	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,021.35 / $1,021.35 / $1,021.35	Professional		$1,021.35	$1,021.35	$1,021.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $835.82 / $835.82 / $7,227.90	Facility		$835.82	$835.82	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.55 / $1,277.63 / $2,812.38	Professional		$623.55	$1,277.63	$2,812.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $769.26 / $1,941.75	Facility		$319.00	$769.26	$1,941.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $776.70 / $1,035.59 / $1,492.99	Professional		$776.70	$1,035.59	$1,492.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $552.13 / $736.51 / $1,178.05	Professional		$552.13	$736.51	$1,178.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $7,227.90 / $74,999.25	Facility		$555.00	$7,227.90	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $626.85 / $1,277.63 / $2,812.38	Professional		$626.85	$1,277.63	$2,812.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $12,962.00	Facility		$2,264.00	$5,248.00	$12,962.00
United Facility/Professional Professional Modifier Low / Median / High Price $734.73 / $993.91 / $2,234.08	Professional		$734.73	$993.91	$2,234.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $910.18 / $910.18 / $2,990.92	Facility		$910.18	$910.18	$2,990.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $552.13 / $1,038.33 / $1,818.57	Professional		$552.13	$1,038.33	$1,818.57