Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,138.94 / $3,996.00 / $10,296.00	Facility		$1,138.94	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.99 / $1,150.07 / $2,438.14	Professional		$836.99	$1,150.07	$2,438.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,221.66 / $11,909.00	Facility		$3,283.00	$5,221.66	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $770.66 / $1,007.40 / $2,301.06	Professional		$770.66	$1,007.40	$2,301.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,332.96 / $1,332.96 / $37,499.62	Facility		$1,332.96	$1,332.96	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,332.96 / $1,332.96 / $1,332.96	Professional		$1,332.96	$1,332.96	$1,332.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,311.60 / $1,311.60 / $1,311.60	Professional		$1,311.60	$1,311.60	$1,311.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,305.00 / $2,417.02	Facility		$319.00	$1,305.00	$2,417.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,074.23 / $1,282.55 / $1,919.41	Professional		$1,074.23	$1,282.55	$1,919.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $734.53 / $1,149.86 / $1,708.89	Professional		$734.53	$1,149.86	$1,708.89
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 $1,043.46 / $1,412.35 / $3,141.03	Professional		$1,043.46	$1,412.35	$3,141.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $773.94 / $1,137.36 / $3,045.02	Professional		$773.94	$1,137.36	$3,045.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,220.63 / $1,220.63 / $3,271.84	Facility		$1,220.63	$1,220.63	$3,271.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $734.53 / $1,220.63 / $1,993.73	Professional		$734.53	$1,220.63	$1,993.73