Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.00 / $5,411.00 / $10,686.00	Facility		$1,548.00	$5,411.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.51 / $261.82 / $1,632.38	Professional		$196.51	$261.82	$1,632.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.14 / $2,160.00 / $3,010.00	Professional		$310.14	$2,160.00	$3,010.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $329.11 / $329.11 / $37,499.62	Facility		$329.11	$329.11	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $329.11 / $329.11 / $329.11	Professional		$329.11	$329.11	$329.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.22 / $297.22 / $7,227.90	Facility		$297.22	$297.22	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.20 / $423.99 / $900.44	Professional		$195.20	$423.99	$900.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $332.00 / $931.85	Facility		$190.00	$332.00	$931.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $220.32 / $308.00 / $1,016.57	Professional		$220.32	$308.00	$1,016.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $564.76 / $564.76 / $564.76	Facility		$564.76	$564.76	$564.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.05 / $801.96 / $1,184.78	Professional		$480.05	$801.96	$1,184.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $297.22 / $555.00 / $7,227.90	Facility		$297.22	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $199.39 / $432.41 / $918.30	Professional		$199.39	$432.41	$918.30
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 $154.03 / $271.88 / $824.55	Professional		$154.03	$271.88	$824.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $705.95 / $705.95 / $1,664.23	Facility		$705.95	$705.95	$1,664.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $564.76 / $892.32 / $1,500.79	Professional		$564.76	$892.32	$1,500.79