Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.79 / $4,828.00 / $10,526.00	Facility		$1,023.79	$4,828.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.82 / $892.83 / $1,910.60	Professional		$634.82	$892.83	$1,910.60
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 $580.16 / $758.38 / $1,691.17	Professional		$580.16	$758.38	$1,691.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,047.05 / $2,390.00 / $10,957.50	Facility		$1,047.05	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,047.05 / $1,047.05 / $1,047.05	Professional		$1,047.05	$1,047.05	$1,047.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $829.31 / $829.31 / $1,685.80	Facility		$829.31	$829.31	$1,685.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.33 / $922.17 / $2,097.56	Professional		$604.33	$922.17	$2,097.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $779.13 / $1,881.59	Facility		$332.00	$779.13	$1,881.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $817.26 / $1,003.51 / $1,558.26	Professional		$817.26	$1,003.51	$1,558.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.95 / $692.87 / $1,371.90	Professional		$383.95	$692.87	$1,371.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $829.31 / $74,999.25	Facility		$555.00	$829.31	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $616.41 / $948.57 / $2,190.96	Professional		$616.41	$948.57	$2,190.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $3,972.00 / $7,939.00	Facility		$2,031.00	$3,972.00	$7,939.00
United Facility/Professional Professional Modifier Low / Median / High Price $617.61 / $817.26 / $1,686.71	Professional		$617.61	$817.26	$1,686.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,013.81 / $1,013.81 / $2,140.56	Facility		$1,013.81	$1,013.81	$2,140.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $383.95 / $1,013.81 / $1,885.06	Professional		$383.95	$1,013.81	$1,885.06