Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $5,824.00 / $10,686.00	Facility		$1,516.00	$5,824.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.60 / $577.60 / $847.26	Professional		$577.60	$577.60	$847.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $7,264.00 / $12,274.00	Facility		$4,070.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $744.11 / $896.34 / $1,867.68	Professional		$744.11	$896.34	$1,867.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,257.57 / $1,257.57 / $16,534.50	Facility		$1,257.57	$1,257.57	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,257.57 / $1,257.57 / $1,257.57	Professional		$1,257.57	$1,257.57	$1,257.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,152.40 / $1,152.40 / $13,296.25	Facility		$1,152.40	$1,152.40	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,543.24 / $4,543.24 / $4,543.24	Professional		$4,543.24	$4,543.24	$4,543.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,361.31 / $1,361.31 / $1,361.31	Professional		$1,361.31	$1,361.31	$1,361.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $875.95 / $1,227.78 / $1,934.34	Professional		$875.95	$1,227.78	$1,934.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,152.40 / $13,296.25	Facility		$597.00	$1,152.40	$13,296.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4,543.24 / $4,543.24 / $4,543.24	Professional		$4,543.24	$4,543.24	$4,543.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,403.00 / $5,547.00 / $11,744.00	Facility		$2,403.00	$5,547.00	$11,744.00
United Facility/Professional Professional Modifier Low / Median / High Price $812.15 / $1,105.74 / $2,526.04	Professional		$812.15	$1,105.74	$2,526.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $847.77 / $922.06 / $922.06	Facility		$847.77	$922.06	$922.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $922.06 / $922.06 / $1,934.34	Professional		$922.06	$922.06	$1,934.34