Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,026.14 / $5,324.00 / $11,653.00	Facility		$1,026.14	$5,324.00	$11,653.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.29 / $872.24 / $1,180.42	Professional		$625.29	$872.24	$1,180.42
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 $573.41 / $718.21 / $1,494.02	Professional		$573.41	$718.21	$1,494.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,066.48 / $3,417.00 / $13,944.00	Facility		$1,066.48	$3,417.00	$13,944.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,066.48 / $1,066.48 / $1,066.48	Professional		$1,066.48	$1,066.48	$1,066.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $861.80 / $861.80 / $1,685.80	Facility		$861.80	$861.80	$1,685.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.77 / $979.18 / $2,165.85	Professional		$593.77	$979.18	$2,165.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $818.80 / $7,533.00	Facility		$332.00	$818.80	$7,533.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $607.20 / $687.75 / $1,514.32	Professional		$607.20	$687.75	$1,514.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $706.71 / $1,400.75	Professional		$440.00	$706.71	$1,400.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $861.80 / $74,999.25	Facility		$555.00	$861.80	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $595.85 / $942.96 / $2,424.66	Professional		$595.85	$942.96	$2,424.66
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 $578.95 / $819.95 / $1,718.27	Professional		$578.95	$819.95	$1,718.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,035.13 / $1,035.13 / $1,983.43	Facility		$1,035.13	$1,035.13	$1,983.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $1,035.13 / $1,915.33	Professional		$440.00	$1,035.13	$1,915.33