Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.68 / $3,060.00 / $10,965.00	Facility		$405.68	$3,060.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.25 / $790.97 / $1,689.65	Professional		$158.25	$790.97	$1,689.65
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 $948.04 / $1,204.06 / $2,858.57	Professional		$948.04	$1,204.06	$2,858.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $209.00 / $2,390.00 / $10,957.50	Facility		$209.00	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $209.00 / $209.00 / $1,760.24	Professional		$209.00	$209.00	$1,760.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.00 / $176.00 / $176.00	Facility		$176.00	$176.00	$176.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.86 / $1,008.00 / $2,595.90	Professional		$131.86	$1,008.00	$2,595.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $122.77 / $282.00 / $467.20	Facility		$122.77	$282.00	$467.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,240.53 / $1,470.62 / $2,354.52	Professional		$1,240.53	$1,470.62	$2,354.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $793.90 / $1,153.30 / $2,109.88	Professional		$793.90	$1,153.30	$2,109.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $176.00 / $555.00 / $74,999.25	Facility		$176.00	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $177.89 / $1,332.92 / $2,831.48	Professional		$177.89	$1,332.92	$2,831.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,063.00 / $5,191.00 / $11,098.00	Facility		$2,063.00	$5,191.00	$11,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,051.24 / $1,403.55 / $3,032.47	Professional		$1,051.24	$1,403.55	$3,032.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $159.44 / $159.44 / $604.65	Facility		$159.44	$159.44	$604.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $296.49 / $1,014.22 / $2,419.32	Professional		$296.49	$1,014.22	$2,419.32