Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,100.47 / $4,574.00 / $10,024.00	Facility		$1,100.47	$4,574.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.02 / $997.32 / $2,190.26	Professional		$682.02	$997.32	$2,190.26
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 $606.46 / $792.77 / $1,876.01	Professional		$606.46	$792.77	$1,876.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,248.61 / $1,990.00 / $8,917.50	Facility		$1,248.61	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,248.61 / $1,248.61 / $1,248.61	Professional		$1,248.61	$1,248.61	$1,248.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.87 / $1,005.87 / $1,424.38	Facility		$1,005.87	$1,005.87	$1,424.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.31 / $1,052.28 / $2,409.35	Professional		$660.31	$1,052.28	$2,409.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $948.15 / $2,266.13	Facility		$332.00	$948.15	$2,266.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $983.20 / $1,198.99 / $1,873.02	Professional		$983.20	$1,198.99	$1,873.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $410.81 / $826.89 / $1,659.92	Professional		$410.81	$826.89	$1,659.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,005.87 / $74,999.25	Facility		$555.00	$1,005.87	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $703.51 / $1,080.42 / $2,261.36	Professional		$703.51	$1,080.42	$2,261.36
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 $688.02 / $943.56 / $1,966.12	Professional		$688.02	$943.56	$1,966.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,226.65 / $1,226.65 / $2,348.96	Facility		$1,226.65	$1,226.65	$2,348.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $410.81 / $1,226.65 / $2,211.33	Professional		$410.81	$1,226.65	$2,211.33