Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,370.00 / $10,965.00	Facility		$1,819.00	$5,370.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.36 / $648.79 / $4,202.39	Professional		$616.36	$648.79	$4,202.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,750.00 / $16,411.00	Facility		$4,989.00	$9,750.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $462.80 / $574.73 / $1,251.11	Professional		$462.80	$574.73	$1,251.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,294.78 / $9,430.50 / $28,291.50	Facility		$1,294.78	$9,430.50	$28,291.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,294.78 / $1,294.78 / $1,294.78	Professional		$1,294.78	$1,294.78	$1,294.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,227.90 / $7,227.90 / $11,456.39	Facility		$7,227.90	$7,227.90	$11,456.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35,882.73 / $35,882.73 / $35,882.73	Professional		$35,882.73	$35,882.73	$35,882.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $14,611.60 / $24,839.72	Facility		$294.00	$14,611.60	$24,839.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9,139.64 / $13,479.13 / $24,787.89	Professional		$9,139.64	$13,479.13	$24,787.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,477.63 / $10,475.70 / $13,228.03	Professional		$6,477.63	$10,475.70	$13,228.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $7,227.90 / $74,999.25	Facility		$555.00	$7,227.90	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $864.01 / $864.01 / $1,799.03	Professional		$864.01	$864.01	$1,799.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,719.00 / $17,688.00	Facility		$2,705.00	$7,719.00	$17,688.00
United Facility/Professional Professional Modifier Low / Median / High Price $584.65 / $1,218.96 / $10,916.76	Professional		$584.65	$1,218.96	$10,916.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $548.82 / $6,818.56 / $6,818.56	Facility		$548.82	$6,818.56	$6,818.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $548.82 / $6,818.56 / $14,304.33	Professional		$548.82	$6,818.56	$14,304.33