Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,601.00 / $11,220.00	Facility		$1,819.00	$5,601.00	$11,220.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.52 / $561.16 / $660.94	Professional		$371.52	$561.16	$660.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $10,355.00 / $24,288.00	Facility		$4,989.00	$10,355.00	$24,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.51 / $395.96 / $705.80	Professional		$317.51	$395.96	$705.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $704.42 / $5,064.50 / $15,193.50	Facility		$704.42	$5,064.50	$15,193.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $704.42 / $704.42 / $704.42	Professional		$704.42	$704.42	$704.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $584.03 / $584.03 / $7,227.90	Facility		$584.03	$584.03	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.77 / $2,217.06 / $2,217.06	Professional		$444.77	$2,217.06	$2,217.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $38,357.00 / $47,648.00 / $71,078.00	Facility		$38,357.00	$47,648.00	$71,078.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.37 / $656.05 / $957.68	Professional		$437.37	$656.05	$957.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $444.77 / $2,217.06 / $2,217.06	Professional		$444.77	$2,217.06	$2,217.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,846.00 / $14,155.00 / $52,250.00	Facility		$2,846.00	$14,155.00	$52,250.00
United Facility/Professional Professional Modifier Low / Median / High Price $494.52 / $655.28 / $1,510.97	Professional		$494.52	$655.28	$1,510.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $493.65 / $493.65 / $493.65	Facility		$493.65	$493.65	$493.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $493.65 / $680.98 / $1,035.59	Professional		$493.65	$680.98	$1,035.59