Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.59 / $4,910.00 / $11,396.00	Facility		$893.59	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $723.84 / $938.59 / $2,731.53	Professional		$723.84	$938.59	$2,731.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,204.00 / $11,909.00	Facility		$3,283.00	$5,204.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.35 / $804.38 / $1,968.45	Professional		$615.35	$804.38	$1,968.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,043.40 / $1,043.40 / $37,499.62	Facility		$1,043.40	$1,043.40	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,043.40 / $1,043.40 / $1,043.40	Professional		$1,043.40	$1,043.40	$1,043.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $862.26 / $862.26 / $7,227.90	Facility		$862.26	$862.26	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $732.54 / $1,390.51 / $3,757.83	Professional		$732.54	$1,390.51	$3,757.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $831.46 / $2,134.51	Facility		$319.00	$831.46	$2,134.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $914.61 / $1,014.51 / $1,641.20	Professional		$914.61	$1,014.51	$1,641.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $589.97 / $868.00 / $1,379.93	Professional		$589.97	$868.00	$1,379.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $862.26 / $74,999.25	Facility		$597.00	$862.26	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $758.45 / $1,413.52 / $3,622.86	Professional		$758.45	$1,413.52	$3,622.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $3,988.00 / $8,133.00	Facility		$1,479.00	$3,988.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $734.64 / $1,053.29 / $2,513.44	Professional		$734.64	$1,053.29	$2,513.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $868.00 / $868.00 / $2,921.66	Facility		$868.00	$868.00	$2,921.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $589.97 / $929.47 / $1,780.33	Professional		$589.97	$929.47	$1,780.33