Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,228.00 / $10,170.00	Facility		$1,819.00	$5,228.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.86 / $613.76 / $613.76	Professional		$364.86	$613.76	$613.76
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 $744.55 / $930.69 / $1,582.19	Professional		$744.55	$930.69	$1,582.19
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 $608.72 / $608.72 / $608.72	Facility		$608.72	$608.72	$608.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,536.67 / $2,536.67 / $2,536.67	Professional		$2,536.67	$2,536.67	$2,536.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $500.37 / $500.37 / $500.37	Facility		$500.37	$500.37	$500.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.37 / $750.56 / $1,134.50	Professional		$500.37	$750.56	$1,134.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $608.72	Facility		$555.00	$597.00	$608.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,185.06 / $1,185.06 / $1,422.07	Professional		$1,185.06	$1,185.06	$1,422.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $475.60 / $695.95 / $1,618.65	Professional		$475.60	$695.95	$1,618.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $500.37 / $514.50 / $514.50	Facility		$500.37	$514.50	$514.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $514.50 / $514.50 / $1,134.50	Professional		$514.50	$514.50	$1,134.50