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 $739.04 / $1,041.74 / $2,238.48	Professional		$739.04	$1,041.74	$2,238.48
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 $680.60 / $889.68 / $1,970.02	Professional		$680.60	$889.68	$1,970.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,227.61 / $2,390.00 / $10,957.50	Facility		$1,227.61	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,227.61 / $1,227.61 / $1,227.61	Professional		$1,227.61	$1,227.61	$1,227.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $973.81 / $973.81 / $2,907.52	Facility		$973.81	$973.81	$2,907.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $706.06 / $1,056.54 / $2,447.69	Professional		$706.06	$1,056.54	$2,447.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $914.06 / $2,209.79	Facility		$332.00	$914.06	$2,209.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $959.24 / $1,174.08 / $1,828.12	Professional		$959.24	$1,174.08	$1,828.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.31 / $809.72 / $1,845.75	Professional		$440.31	$809.72	$1,845.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $973.81 / $74,999.25	Facility		$555.00	$973.81	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $715.38 / $1,109.36 / $2,447.69	Professional		$715.38	$1,109.36	$2,447.69
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 $707.84 / $948.56 / $1,942.18	Professional		$707.84	$948.56	$1,942.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,189.52 / $1,189.52 / $2,315.80	Facility		$1,189.52	$1,189.52	$2,315.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $440.31 / $1,189.52 / $2,295.73	Professional		$440.31	$1,189.52	$2,295.73