Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $892.33 / $4,409.00 / $10,024.00	Facility		$892.33	$4,409.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.04 / $812.38 / $1,401.19	Professional		$575.04	$812.38	$1,401.19
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 $532.04 / $695.50 / $1,582.87	Professional		$532.04	$695.50	$1,582.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $951.72 / $1,990.00 / $8,917.50	Facility		$951.72	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $951.72 / $951.72 / $951.72	Professional		$951.72	$951.72	$951.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $754.36 / $754.36 / $1,424.38	Facility		$754.36	$754.36	$1,424.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.28 / $840.96 / $1,906.14	Professional		$558.28	$840.96	$1,906.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $749.00 / $1,716.68	Facility		$332.00	$749.00	$1,716.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $745.35 / $915.21 / $1,420.22	Professional		$745.35	$915.21	$1,420.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.91 / $643.08 / $1,246.18	Professional		$357.91	$643.08	$1,246.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $754.36 / $74,999.25	Facility		$555.00	$754.36	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $576.17 / $867.87 / $1,906.14	Professional		$576.17	$867.87	$1,906.14
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 $584.53 / $756.55 / $1,538.30	Professional		$584.53	$756.55	$1,538.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $920.90 / $920.90 / $1,902.63	Facility		$920.90	$920.90	$1,902.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $357.91 / $920.90 / $1,685.51	Professional		$357.91	$920.90	$1,685.51