Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.28 / $4,792.00 / $10,526.00	Facility		$1,086.28	$4,792.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.32 / $902.18 / $2,089.71	Professional		$667.32	$902.18	$2,089.71
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 $590.65 / $772.10 / $1,798.59	Professional		$590.65	$772.10	$1,798.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,128.18 / $2,390.00 / $10,957.50	Facility		$1,128.18	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,128.18 / $1,128.18 / $1,128.18	Professional		$1,128.18	$1,128.18	$1,128.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $904.84 / $904.84 / $2,203.26	Facility		$904.84	$904.84	$2,203.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $631.16 / $963.90 / $2,227.64	Professional		$631.16	$963.90	$2,227.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $849.18 / $2,052.61	Facility		$332.00	$849.18	$2,052.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $891.08 / $1,091.21 / $1,698.36	Professional		$891.08	$1,091.21	$1,698.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.19 / $752.56 / $1,715.36	Professional		$392.19	$752.56	$1,715.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $904.84 / $74,999.25	Facility		$555.00	$904.84	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $663.42 / $999.79 / $2,117.98	Professional		$663.42	$999.79	$2,117.98
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 $640.98 / $865.63 / $1,780.86	Professional		$640.98	$865.63	$1,780.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,105.49 / $1,105.49 / $2,186.12	Facility		$1,105.49	$1,105.49	$2,186.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $392.19 / $1,105.49 / $2,055.53	Professional		$392.19	$1,105.49	$2,055.53