Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,131.00 / $4,792.00 / $10,526.00	Facility		$1,131.00	$4,792.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.66 / $1,042.56 / $1,675.47	Professional		$739.66	$1,042.56	$1,675.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,264.00 / $12,538.00	Facility		$4,046.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $681.14 / $890.39 / $1,971.58	Professional		$681.14	$890.39	$1,971.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,228.11 / $2,390.00 / $10,957.50	Facility		$1,228.11	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,228.11 / $1,228.11 / $1,228.11	Professional		$1,228.11	$1,228.11	$1,228.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $974.18 / $974.18 / $2,907.52	Facility		$974.18	$974.18	$2,907.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.59 / $1,057.35 / $2,449.61	Professional		$707.59	$1,057.35	$2,449.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $914.76 / $2,211.44	Facility		$332.00	$914.76	$2,211.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $959.97 / $1,175.01 / $1,829.52	Professional		$959.97	$1,175.01	$1,829.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.17 / $810.35 / $1,846.48	Professional		$442.17	$810.35	$1,846.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $974.18 / $74,999.25	Facility		$555.00	$974.18	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $715.64 / $1,110.23 / $2,449.61	Professional		$715.64	$1,110.23	$2,449.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,652.00 / $4,370.00 / $9,187.00	Facility		$1,652.00	$4,370.00	$9,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $710.43 / $966.59 / $2,172.87	Professional		$710.43	$966.59	$2,172.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,189.99 / $1,189.99 / $2,327.92	Facility		$1,189.99	$1,189.99	$2,327.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $442.17 / $1,189.99 / $2,295.73	Professional		$442.17	$1,189.99	$2,295.73