Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $6,962.00 / $16,300.00	Facility		$1,819.00	$6,962.00	$16,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.10 / $491.55 / $557.79	Professional		$315.10	$491.55	$557.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,016.00 / $10,830.00 / $26,158.00	Facility		$5,016.00	$10,830.00	$26,158.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.56 / $411.36 / $704.58	Professional		$344.56	$411.36	$704.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $599.82 / $599.82 / $37,499.62	Facility		$599.82	$599.82	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $599.82 / $599.82 / $599.82	Professional		$599.82	$599.82	$599.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,227.90 / $21,417.00 / $59,610.00	Facility		$7,227.90	$21,417.00	$59,610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.76 / $2,062.67 / $2,062.67	Professional		$413.76	$2,062.67	$2,062.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $585.58 / $1,317.56	Facility		$294.00	$585.58	$1,317.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $575.67 / $740.16 / $1,013.05	Professional		$575.67	$740.16	$1,013.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.31 / $652.97 / $844.50	Professional		$435.31	$652.97	$844.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $18,211.00 / $32,297.00	Facility		$555.00	$18,211.00	$32,297.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $413.76 / $2,062.67 / $2,062.67	Professional		$413.76	$2,062.67	$2,062.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $450.57 / $567.78 / $1,273.92	Professional		$450.57	$567.78	$1,273.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $435.31 / $435.31 / $435.31	Facility		$435.31	$435.31	$435.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $435.31 / $666.94 / $913.22	Professional		$435.31	$666.94	$913.22