Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,324.00 / $10,170.00	Facility		$1,819.00	$5,324.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $679.12 / $802.89 / $929.09	Professional		$679.12	$802.89	$929.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,196.00 / $11,909.00	Facility		$3,263.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $620.00 / $730.34 / $1,217.48	Professional		$620.00	$730.34	$1,217.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,890.00 / $4,106.50 / $12,319.50	Facility		$1,890.00	$4,106.50	$12,319.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,025.80 / $1,025.80 / $1,025.80	Facility		$1,025.80	$1,025.80	$1,025.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.87 / $1,200.92 / $2,951.21	Professional		$613.87	$1,200.92	$2,951.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $728.70 / $2,593.55	Facility		$319.00	$728.70	$2,593.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,143.82 / $1,700.69 / $3,500.58	Professional		$1,143.82	$1,700.69	$3,500.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.54 / $846.04 / $1,673.37	Professional		$352.54	$846.04	$1,673.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,025.80 / $1,025.80	Facility		$597.00	$1,025.80	$1,025.80
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $698.59 / $1,144.94 / $2,561.85	Professional		$698.59	$1,144.94	$2,561.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,248.00 / $11,200.00	Facility		$2,160.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $575.00 / $1,037.35 / $2,146.30	Professional		$575.00	$1,037.35	$2,146.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $972.22 / $972.22 / $2,319.85	Facility		$972.22	$972.22	$2,319.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $352.54 / $972.22 / $2,132.90	Professional		$352.54	$972.22	$2,132.90