Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,636.75 / $11,880.00	Facility		$1,819.00	$5,636.75	$11,880.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.76 / $1,093.89 / $1,395.28	Professional		$754.76	$1,093.89	$1,395.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,760.00 / $10,037.00 / $19,299.00	Facility		$4,760.00	$10,037.00	$19,299.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,362.76 / $1,639.69 / $2,808.46	Professional		$1,362.76	$1,639.69	$2,808.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $37,499.62 / $37,499.62 / $37,499.62	Facility		$37,499.62	$37,499.62	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.85 / $1,260.85 / $1,260.85	Facility		$1,260.85	$1,260.85	$1,260.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.23 / $5,251.05 / $5,251.05	Professional		$705.23	$5,251.05	$5,251.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $781.35 / $1,700.42	Facility		$319.00	$781.35	$1,700.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $420.73 / $822.11 / $1,602.17	Professional		$420.73	$822.11	$1,602.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $601.04 / $601.04 / $601.04	Facility		$601.04	$601.04	$601.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.54 / $841.46 / $1,325.31	Professional		$557.54	$841.46	$1,325.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,260.85	Facility		$555.00	$597.00	$1,260.85
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $705.23 / $5,251.05 / $5,251.05	Professional		$705.23	$5,251.05	$5,251.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $604.41 / $909.11 / $2,136.48	Professional		$604.41	$909.11	$2,136.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $601.04 / $601.04 / $601.64	Facility		$601.04	$601.04	$601.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $601.04 / $601.04 / $1,325.31	Professional		$601.04	$601.04	$1,325.31