Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,359.00 / $10,577.10	Facility		$1,819.00	$5,359.00	$10,577.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $367.50 / $367.50	Professional		$367.50	$367.50	$367.50
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 $0.02 / $173.18 / $215.03	Professional		$0.02	$173.18	$215.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,890.00 / $2,972.50 / $8,917.50	Facility		$1,890.00	$2,972.50	$8,917.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.63 / $2,295.27 / $4,528.35	Professional		$330.63	$2,295.27	$4,528.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $519.00	Facility		$300.00	$300.00	$519.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,234.18 / $1,306.78 / $1,451.98	Professional		$1,234.18	$1,306.78	$1,451.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $597.00 / $597.00	Facility		$597.00	$597.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $330.63 / $2,295.27 / $4,528.35	Professional		$330.63	$2,295.27	$4,528.35
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
Univera Facility/Professional Facility Modifier Low / Median / High Price $8,277.79 / $8,277.79 / $8,277.79	Facility		$8,277.79	$8,277.79	$8,277.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,306.78 / $1,451.98 / $8,277.79	Professional		$1,306.78	$1,451.98	$8,277.79