Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,055.54 / $3,996.00 / $9,038.00	Facility		$1,055.54	$3,996.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.12 / $954.86 / $2,105.04	Professional		$653.12	$954.86	$2,105.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,217.00 / $5,196.00 / $11,909.00	Facility		$3,217.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.48 / $753.57 / $1,798.30	Professional		$576.48	$753.57	$1,798.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,191.68 / $1,716.00 / $6,213.00	Facility		$1,191.68	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,191.68 / $1,191.68 / $1,191.68	Professional		$1,191.68	$1,191.68	$1,191.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $963.74 / $963.74 / $2,203.26	Facility		$963.74	$963.74	$2,203.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.66 / $1,010.03 / $2,292.71	Professional		$627.66	$1,010.03	$2,292.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $898.70 / $2,175.84	Facility		$332.00	$898.70	$2,175.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $943.75 / $1,148.43 / $1,797.40	Professional		$943.75	$1,148.43	$1,797.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.50 / $792.02 / $1,739.67	Professional		$389.50	$792.02	$1,739.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $963.74 / $74,999.25	Facility		$555.00	$963.74	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $674.38 / $1,033.54 / $2,170.63	Professional		$674.38	$1,033.54	$2,170.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,768.00 / $11,176.00	Facility		$2,160.00	$5,768.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $654.23 / $883.23 / $1,887.78	Professional		$654.23	$883.23	$1,887.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,174.20 / $1,174.20 / $2,176.77	Facility		$1,174.20	$1,174.20	$2,176.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $389.50 / $1,174.20 / $2,110.48	Professional		$389.50	$1,174.20	$2,110.48