Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,009.39 / $5,250.00 / $11,161.00	Facility		$1,009.39	$5,250.00	$11,161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.04 / $860.48 / $1,852.56	Professional		$628.04	$860.48	$1,852.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,217.00 / $5,196.00 / $11,909.00	Facility		$3,217.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $561.76 / $734.33 / $1,675.71	Professional		$561.76	$734.33	$1,675.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,014.84 / $2,644.00 / $12,319.50	Facility		$1,014.84	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,014.84 / $1,014.84 / $1,014.84	Professional		$1,014.84	$1,014.84	$1,014.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $803.94 / $803.94 / $2,203.26	Facility		$803.94	$803.94	$2,203.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $583.14 / $872.44 / $2,013.50	Professional		$583.14	$872.44	$2,013.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $755.60 / $1,824.57	Facility		$332.00	$755.60	$1,824.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $792.53 / $973.10 / $1,511.20	Professional		$792.53	$973.10	$1,511.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.11 / $678.12 / $1,524.90	Professional		$356.11	$678.12	$1,524.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $803.94 / $74,999.25	Facility		$555.00	$803.94	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $600.67 / $905.10 / $2,013.50	Professional		$600.67	$905.10	$2,013.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,063.00 / $5,191.00 / $11,098.00	Facility		$2,063.00	$5,191.00	$11,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $574.44 / $808.42 / $1,761.19	Professional		$574.44	$808.42	$1,761.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $982.74 / $982.74 / $1,994.95	Facility		$982.74	$982.74	$1,994.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $356.11 / $982.74 / $1,827.29	Professional		$356.11	$982.74	$1,827.29