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 $321.76 / $534.88 / $699.02	Professional		$321.76	$534.88	$699.02
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 $337.57 / $419.20 / $694.82	Professional		$337.57	$419.20	$694.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $778.52 / $778.52 / $12,319.50	Facility		$778.52	$778.52	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $778.52 / $778.52 / $778.52	Professional		$778.52	$778.52	$778.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.90 / $506.90 / $14,648.00	Facility		$506.90	$506.90	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.52 / $2,112.61 / $2,112.61	Professional		$254.52	$2,112.61	$2,112.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $332.00 / $619.55	Facility		$250.00	$332.00	$619.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $268.75 / $359.86 / $583.76	Professional		$268.75	$359.86	$583.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.20 / $214.20 / $214.20	Facility		$214.20	$214.20	$214.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.20 / $279.52 / $472.32	Professional		$214.20	$279.52	$472.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $506.90 / $555.00 / $597.00	Facility		$506.90	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $254.52 / $2,112.61 / $2,112.61	Professional		$254.52	$2,112.61	$2,112.61
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $306.31 / $696.65 / $1,680.56	Professional		$306.31	$696.65	$1,680.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $214.20 / $214.20 / $214.20	Facility		$214.20	$214.20	$214.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $214.20 / $214.20 / $472.32	Professional		$214.20	$214.20	$472.32