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 $934.81 / $1,395.28 / $1,395.28	Professional		$934.81	$1,395.28	$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 $1,134.91 / $1,394.53 / $2,438.33	Professional		$1,134.91	$1,394.53	$2,438.33
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 $1,555.88 / $1,555.88 / $1,555.88	Facility		$1,555.88	$1,555.88	$1,555.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,478.08 / $6,478.08 / $6,478.08	Professional		$6,478.08	$6,478.08	$6,478.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,840.58 / $1,840.58 / $1,840.58	Professional		$1,840.58	$1,840.58	$1,840.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,277.89 / $1,277.89 / $1,277.89	Facility		$1,277.89	$1,277.89	$1,277.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,277.89 / $1,917.09 / $2,899.76	Professional		$1,277.89	$1,917.09	$2,899.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,555.88	Facility		$555.00	$597.00	$1,555.88
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $6,478.08 / $6,478.08 / $6,478.08	Professional		$6,478.08	$6,478.08	$6,478.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $6,344.00 / $14,069.00	Facility		$2,705.00	$6,344.00	$14,069.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,208.29 / $1,898.58 / $4,882.89	Professional		$1,208.29	$1,898.58	$4,882.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,277.89 / $1,315.07 / $1,315.07	Facility		$1,277.89	$1,315.07	$1,315.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,315.07 / $1,315.07 / $2,899.76	Professional		$1,315.07	$1,315.07	$2,899.76