Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,845.00 / $10,686.00	Facility		$1,819.00	$5,845.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,314.44 / $3,006.37 / $4,676.39	Professional		$1,314.44	$3,006.37	$4,676.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $55.00 / $64.00	Facility		$49.00	$55.00	$64.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.81 / $146.30 / $385.00	Professional		$117.81	$146.30	$385.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,106.50 / $4,106.50 / $12,319.50	Facility		$4,106.50	$4,106.50	$12,319.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,763.65 / $1,763.65 / $13,296.25	Facility		$1,763.65	$1,763.65	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,527.00 / $5,527.00 / $5,527.00	Professional		$5,527.00	$5,527.00	$5,527.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $648.00	Facility		$400.00	$400.00	$648.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $600.00 / $1,459.12	Professional		$304.00	$600.00	$1,459.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,416.14 / $1,514.77 / $3,127.21	Professional		$1,416.14	$1,514.77	$3,127.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,763.65 / $13,296.25	Facility		$555.00	$1,763.65	$13,296.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5,527.00 / $5,527.00 / $5,527.00	Professional		$5,527.00	$5,527.00	$5,527.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.80 / $2,692.43 / $5,568.62	Professional		$1,698.80	$2,692.43	$5,568.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,490.67 / $1,490.67 / $1,490.67	Facility		$1,490.67	$1,490.67	$1,490.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,490.67 / $1,490.67 / $3,127.21	Professional		$1,490.67	$1,490.67	$3,127.21