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 / $2,093.05 / $2,349.54	Professional		$1,314.44	$2,093.05	$2,349.54
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 $640.54 / $640.54 / $13,296.25	Facility		$640.54	$640.54	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,666.09 / $2,666.09 / $2,666.09	Professional		$2,666.09	$2,666.09	$2,666.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $729.00	Facility		$450.00	$450.00	$729.00
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 $525.91 / $730.71 / $1,135.71	Professional		$525.91	$730.71	$1,135.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $640.54 / $13,296.25	Facility		$555.00	$640.54	$13,296.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,666.09 / $2,666.09 / $2,666.09	Professional		$2,666.09	$2,666.09	$2,666.09
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 $757.94 / $2,684.49 / $5,150.29	Professional		$757.94	$2,684.49	$5,150.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $541.37 / $541.37 / $541.37	Facility		$541.37	$541.37	$541.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $541.37 / $683.69 / $1,135.71	Professional		$541.37	$683.69	$1,135.71