Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,327.04 / $6,250.00 / $13,229.00	Facility		$2,327.04	$6,250.00	$13,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $917.89 / $2,106.33 / $2,581.91	Professional		$917.89	$2,106.33	$2,581.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $10,576.00 / $24,288.00	Facility		$4,977.00	$10,576.00	$24,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,553.94 / $1,848.02 / $3,667.47	Professional		$1,553.94	$1,848.02	$3,667.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,784.36 / $2,784.36 / $13,477.50	Facility		$2,784.36	$2,784.36	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,784.36 / $2,784.36 / $2,784.36	Professional		$2,784.36	$2,784.36	$2,784.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,146.30 / $2,146.30 / $2,146.30	Facility		$2,146.30	$2,146.30	$2,146.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,478.37 / $8,478.37 / $8,478.37	Professional		$8,478.37	$8,478.37	$8,478.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $266.00 / $490.00 / $658.00	Professional		$266.00	$490.00	$658.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,672.45 / $2,232.71 / $4,000.10	Professional		$1,672.45	$2,232.71	$4,000.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $8,478.37 / $8,478.37 / $8,478.37	Professional		$8,478.37	$8,478.37	$8,478.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,595.00 / $14,050.00 / $52,250.00	Facility		$2,595.00	$14,050.00	$52,250.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,569.92 / $2,125.08 / $4,525.28	Professional		$1,569.92	$2,125.08	$4,525.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,814.08 / $1,814.08 / $1,932.95	Facility		$1,814.08	$1,814.08	$1,932.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,717.32 / $1,814.08 / $4,000.10	Professional		$1,717.32	$1,814.08	$4,000.10