Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,242.00 / $4,574.00 / $10,024.00	Facility		$1,242.00	$4,574.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $826.90 / $1,139.75 / $1,849.87	Professional		$826.90	$1,139.75	$1,849.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $746.02 / $975.19 / $2,173.82	Professional		$746.02	$975.19	$2,173.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,373.68 / $1,990.00 / $8,917.50	Facility		$1,373.68	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,373.68 / $1,373.68 / $1,373.68	Professional		$1,373.68	$1,373.68	$1,373.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,087.52 / $1,087.52 / $1,685.80	Facility		$1,087.52	$1,087.52	$1,685.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $779.93 / $1,186.66 / $2,674.72	Professional		$779.93	$1,186.66	$2,674.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,019.38 / $2,462.85	Facility		$332.00	$1,019.38	$2,462.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $982.54 / $1,893.66	Professional		$300.00	$982.54	$1,893.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.95 / $904.94 / $1,799.19	Professional		$489.95	$904.94	$1,799.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,087.52 / $74,999.25	Facility		$555.00	$1,087.52	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $799.66 / $1,227.45 / $2,674.35	Professional		$799.66	$1,227.45	$2,674.35
United Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $2,744.00 / $4,840.00	Facility		$767.00	$2,744.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $814.25 / $1,075.08 / $2,200.55	Professional		$814.25	$1,075.08	$2,200.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,329.56 / $1,329.56 / $2,726.56	Facility		$1,329.56	$1,329.56	$2,726.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $489.95 / $1,329.56 / $2,472.17	Professional		$489.95	$1,329.56	$2,472.17