Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.00 / $4,200.00 / $10,686.00	Facility		$1,508.00	$4,200.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.69 / $403.55 / $497.90	Professional		$347.69	$403.55	$497.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,284.00 / $4,085.00 / $8,640.00	Facility		$2,284.00	$4,085.00	$8,640.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.51 / $398.30 / $849.26	Professional		$320.51	$398.30	$849.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9,357.00 / $37,499.62 / $37,499.62	Facility		$9,357.00	$37,499.62	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $439.50 / $44,560.00 / $53,687.00	Facility		$439.50	$44,560.00	$53,687.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.35 / $579.61 / $1,521.01	Professional		$385.35	$579.61	$1,521.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $288.00 / $588.05 / $13,558.00	Facility		$288.00	$588.05	$13,558.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $823.17 / $1,114.57 / $1,786.28	Professional		$823.17	$1,114.57	$1,786.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.17 / $363.17 / $363.17	Facility		$363.17	$363.17	$363.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.77 / $519.58 / $819.19	Professional		$315.77	$519.58	$819.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $439.50 / $26,028.00 / $53,687.00	Facility		$439.50	$26,028.00	$53,687.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $388.25 / $483.37 / $1,429.98	Professional		$388.25	$483.37	$1,429.98
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $325.67 / $483.64 / $1,259.74	Professional		$325.67	$483.64	$1,259.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $653.85 / $653.85 / $1,865.42	Facility		$653.85	$653.85	$1,865.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $341.42 / $555.77 / $997.43	Professional		$341.42	$555.77	$997.43