Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.00 / $4,043.00 / $9,661.00	Facility		$1,508.00	$4,043.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $225.91 / $292.45	Professional		$156.72	$225.91	$292.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $240.62 / $409.48	Professional		$193.76	$240.62	$409.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $330.47 / $330.47 / $37,499.62	Facility		$330.47	$330.47	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $330.47 / $330.47 / $330.47	Professional		$330.47	$330.47	$330.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.55 / $364.55 / $14,648.00	Facility		$364.55	$364.55	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.48 / $1,526.35 / $1,526.35	Professional		$306.48	$1,526.35	$1,526.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $481.48 / $481.48 / $481.48	Professional		$481.48	$481.48	$481.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $301.12 / $301.12 / $301.12	Facility		$301.12	$301.12	$301.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.72 / $412.90 / $524.33	Professional		$242.72	$412.90	$524.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $364.55 / $555.00 / $597.00	Facility		$364.55	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $306.48 / $1,526.35 / $1,526.35	Professional		$306.48	$1,526.35	$1,526.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $216.83 / $347.08 / $798.27	Professional		$216.83	$347.08	$798.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $242.72 / $242.72 / $301.12	Facility		$242.72	$242.72	$301.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $242.72 / $242.72 / $482.78	Professional		$242.72	$242.72	$482.78