Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $6,067.00 / $10,686.00	Facility		$1,819.00	$6,067.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.36 / $581.48 / $6,249.99	Professional		$447.36	$581.48	$6,249.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $551.50 / $4,452.30 / $6,702.77	Professional		$551.50	$4,452.30	$6,702.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $645.25 / $645.25 / $37,499.62	Facility		$645.25	$645.25	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $645.25 / $645.25 / $645.25	Professional		$645.25	$645.25	$645.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.91 / $564.91 / $7,227.90	Facility		$564.91	$564.91	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.75 / $824.41 / $1,811.28	Professional		$394.75	$824.41	$1,811.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $448.80 / $1,824.49	Facility		$332.00	$448.80	$1,824.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $476.42 / $660.37 / $1,990.35	Professional		$476.42	$660.37	$1,990.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,105.75 / $1,105.75 / $1,105.75	Facility		$1,105.75	$1,105.75	$1,105.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $939.89 / $1,570.16 / $2,319.69	Professional		$939.89	$1,570.16	$2,319.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $564.91 / $564.91 / $7,227.90	Facility		$564.91	$564.91	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $394.75 / $833.35 / $1,842.48	Professional		$394.75	$833.35	$1,842.48
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,020.04	Facility		$996.00	$4,194.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $329.69 / $582.86 / $1,653.62	Professional		$329.69	$582.86	$1,653.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,382.19 / $1,382.19 / $2,490.73	Facility		$1,382.19	$1,382.19	$2,490.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,105.75 / $1,550.18 / $2,938.42	Professional		$1,105.75	$1,550.18	$2,938.42