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 $367.50 / $367.50 / $367.50	Professional		$367.50	$367.50	$367.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,142.00 / $9,074.00	Facility		$2,393.00	$4,142.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $594.90 / $1,219.23	Professional		$206.00	$594.90	$1,219.23
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 $231.75 / $2,493.59 / $2,830.22	Professional		$231.75	$2,493.59	$2,830.22
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 $310.68 / $377.26 / $443.83	Professional		$310.68	$377.26	$443.83
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 / $2,493.59 / $2,830.22	Professional		$330.63	$2,493.59	$2,830.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,764.00 / $4,176.00 / $8,133.00	Facility		$1,764.00	$4,176.00	$8,133.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $443.83 / $443.83 / $846.12	Facility		$443.83	$443.83	$846.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $310.68 / $443.83 / $1,637.06	Professional		$310.68	$443.83	$1,637.06