Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,154.21 / $4,029.00 / $10,170.00	Facility		$1,154.21	$4,029.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.90 / $913.24 / $1,814.42	Professional		$866.90	$913.24	$1,814.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,720.00 / $16,411.00	Facility		$4,989.00	$9,720.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $624.24 / $775.20 / $2,053.67	Professional		$624.24	$775.20	$2,053.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,125.01 / $1,125.01 / $1,125.01	Facility		$1,125.01	$1,125.01	$1,125.01
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,125.01 / $1,125.01 / $1,125.01	Professional		$1,125.01	$1,125.01	$1,125.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $983.02 / $983.02 / $7,227.90	Facility		$983.02	$983.02	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $652.79 / $1,384.19 / $4,061.48	Professional		$652.79	$1,384.19	$4,061.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $914.93 / $2,241.81	Facility		$319.00	$914.93	$2,241.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $996.36 / $1,172.70 / $1,755.01	Professional		$996.36	$1,172.70	$1,755.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.16 / $880.16 / $1,599.47	Professional		$656.16	$880.16	$1,599.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $983.02 / $49,110.00	Facility		$597.00	$983.02	$49,110.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $698.91 / $1,374.23 / $3,736.35	Professional		$698.91	$1,374.23	$3,736.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,719.00 / $17,688.00	Facility		$2,705.00	$7,719.00	$17,688.00
United Facility/Professional Professional Modifier Low / Median / High Price $843.33 / $1,158.29 / $2,600.16	Professional		$843.33	$1,158.29	$2,600.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,006.09 / $1,006.09 / $1,143.89	Facility		$1,006.09	$1,006.09	$1,143.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $1,006.09 / $1,827.40	Professional		$733.67	$1,006.09	$1,827.40