Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,960.00 / $12,051.00	Facility		$1,819.00	$5,960.00	$12,051.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.76 / $766.50 / $975.18	Professional		$529.76	$766.50	$975.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $9,808.00 / $16,411.00	Facility		$4,977.00	$9,808.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $511.83 / $616.54 / $1,138.94	Professional		$511.83	$616.54	$1,138.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $950.86 / $1,990.00 / $13,944.00	Facility		$950.86	$1,990.00	$13,944.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $950.86 / $950.86 / $950.86	Professional		$950.86	$950.86	$950.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $808.26 / $808.26 / $2,907.52	Facility		$808.26	$808.26	$2,907.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.40 / $892.57 / $3,001.45	Professional		$579.40	$892.57	$3,001.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $828.88 / $1,868.06	Facility		$332.00	$828.88	$1,868.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $830.25 / $988.20 / $1,520.52	Professional		$830.25	$988.20	$1,520.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.50 / $946.92 / $1,524.07	Professional		$587.50	$946.92	$1,524.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $808.26 / $74,999.25	Facility		$555.00	$808.26	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $618.66 / $674.37 / $1,642.33	Professional		$618.66	$674.37	$1,642.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,731.00 / $12,509.00	Facility		$2,264.00	$5,731.00	$12,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $571.24 / $745.11 / $1,646.14	Professional		$571.24	$745.11	$1,646.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $982.21 / $982.21 / $1,078.26	Facility		$982.21	$982.21	$1,078.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $633.14 / $996.67 / $1,755.63	Professional		$633.14	$996.67	$1,755.63