Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $5,845.00 / $10,965.00	Facility		$1,516.00	$5,845.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.30 / $192.80 / $303.87	Professional		$185.30	$192.80	$303.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,264.00 / $12,538.00	Facility		$4,046.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.69 / $272.76 / $438.24	Professional		$226.69	$272.76	$438.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $371.99 / $371.99 / $16,534.50	Facility		$371.99	$371.99	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $371.99 / $371.99 / $371.99	Professional		$371.99	$371.99	$371.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.94 / $345.94 / $345.94	Facility		$345.94	$345.94	$345.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.61 / $1,058.61 / $1,058.61	Professional		$1,058.61	$1,058.61	$1,058.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.79 / $208.79 / $208.79	Facility		$208.79	$208.79	$208.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $264.23 / $582.63	Professional		$20.30	$264.23	$582.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $345.94 / $555.00 / $597.00	Facility		$345.94	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,058.61 / $1,058.61 / $1,058.61	Professional		$1,058.61	$1,058.61	$1,058.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.03 / $369.97 / $968.19	Professional		$251.03	$369.97	$968.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.60 / $264.23 / $264.23	Facility		$22.60	$264.23	$264.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $208.79 / $264.23 / $582.63	Professional		$208.79	$264.23	$582.63