Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.25 / $3,621.00 / $10,024.00	Facility		$437.25	$3,621.00	$10,024.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,024.57 / $10,024.57 / $10,024.57	Facility	50	$10,024.57	$10,024.57	$10,024.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.58 / $440.94 / $858.39	Professional		$277.58	$440.94	$858.39
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 $364.97 / $462.77 / $996.93	Professional		$364.97	$462.77	$996.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $456.58 / $1,990.00 / $8,917.50	Facility		$456.58	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $456.58 / $456.58 / $700.56	Professional		$456.58	$456.58	$700.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $541.77 / $541.77 / $1,424.38	Facility		$541.77	$541.77	$1,424.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.45 / $522.29 / $1,113.71	Professional		$293.45	$522.29	$1,113.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $332.00 / $839.61	Facility		$200.00	$332.00	$839.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $535.34 / $645.66 / $1,017.82	Professional		$535.34	$645.66	$1,017.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.40 / $445.29 / $1,027.70	Professional		$216.40	$445.29	$1,027.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $541.77 / $597.00 / $74,999.25	Facility		$541.77	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $339.31 / $584.35 / $1,208.39	Professional		$339.31	$584.35	$1,208.39
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 $402.75 / $546.59 / $1,208.65	Professional		$402.75	$546.59	$1,208.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $446.84 / $446.84 / $891.38	Facility		$446.84	$446.84	$891.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $216.40 / $662.31 / $1,124.68	Professional		$216.40	$662.31	$1,124.68