Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $5,845.00 / $10,686.00	Facility		$1,516.00	$5,845.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.70 / $791.70 / $791.70	Professional		$791.70	$791.70	$791.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,697.00	Facility		$4,100.00	$7,264.00	$12,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,720.40 / $2,185.00 / $4,370.00	Professional		$1,720.40	$2,185.00	$4,370.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $37,499.62 / $37,499.62 / $37,499.62	Facility		$37,499.62	$37,499.62	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,227.90 / $7,227.90 / $7,227.90	Facility		$7,227.90	$7,227.90	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $980.49 / $3,077.00	Professional		$525.00	$980.49	$3,077.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,099.79 / $3,842.62	Facility		$319.00	$2,099.79	$3,842.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,099.79 / $2,834.72 / $4,556.54	Professional		$2,099.79	$2,834.72	$4,556.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.91 / $831.13 / $832.83	Professional		$707.91	$831.13	$832.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $7,227.90 / $74,999.25	Facility		$555.00	$7,227.90	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,801.23 / $2,900.00 / $4,127.60	Professional		$1,801.23	$2,900.00	$4,127.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $832.01 / $1,191.54 / $3,019.50	Professional		$832.01	$1,191.54	$3,019.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $832.83 / $832.83 / $1,587.73	Facility		$832.83	$832.83	$1,587.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $831.13 / $832.83 / $1,372.27	Professional		$831.13	$832.83	$1,372.27