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 $344.65 / $490.78 / $616.30	Professional		$344.65	$490.78	$616.30
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 $773.51 / $930.69 / $1,991.98	Professional		$773.51	$930.69	$1,991.98
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 $575.40 / $575.40 / $575.40	Facility		$575.40	$575.40	$575.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.14 / $2,397.90 / $2,397.90	Professional		$481.14	$2,397.90	$2,397.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $473.01 / $473.01 / $473.01	Facility		$473.01	$473.01	$473.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.01 / $644.71 / $1,072.40	Professional		$473.01	$644.71	$1,072.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $575.40 / $597.00	Facility		$555.00	$575.40	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $481.14 / $2,397.90 / $2,397.90	Professional		$481.14	$2,397.90	$2,397.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $4,114.00 / $8,841.00	Facility		$2,160.00	$4,114.00	$8,841.00
United Facility/Professional Professional Modifier Low / Median / High Price $457.20 / $654.90 / $1,582.98	Professional		$457.20	$654.90	$1,582.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $473.01 / $486.34 / $486.34	Facility		$473.01	$486.34	$486.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $486.34 / $486.34 / $1,072.40	Professional		$486.34	$486.34	$1,072.40