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 $895.98 / $1,318.17 / $1,400.00	Professional		$895.98	$1,318.17	$1,400.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,134.91 / $1,398.12 / $2,438.33	Professional		$1,134.91	$1,398.12	$2,438.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,511.50 / $5,511.50 / $16,534.50	Facility		$5,511.50	$5,511.50	$16,534.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,493.35 / $1,493.35 / $1,493.35	Facility		$1,493.35	$1,493.35	$1,493.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.23 / $5,843.53 / $5,843.53	Professional		$705.23	$5,843.53	$5,843.53
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 / $1,493.35	Facility		$555.00	$597.00	$1,493.35
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $705.23 / $5,843.53 / $5,843.53	Professional		$705.23	$5,843.53	$5,843.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $631.09 / $925.51 / $2,060.98	Professional		$631.09	$925.51	$2,060.98
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