Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,370.00 / $10,965.00	Facility		$1,819.00	$5,370.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.50 / $517.50 / $607.20	Professional		$517.50	$517.50	$607.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,104.12 / $2,672.35 / $5,344.70	Professional		$2,104.12	$2,672.35	$5,344.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,972.50 / $2,972.50 / $8,917.50	Facility		$2,972.50	$2,972.50	$8,917.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,246.94 / $5,246.94 / $5,246.94	Facility		$5,246.94	$5,246.94	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $668.55 / $2,120.84	Professional		$375.00	$668.55	$2,120.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $795.00 / $935.00 / $1,916.75	Facility		$795.00	$935.00	$1,916.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $383.80 / $383.80 / $383.80	Professional		$383.80	$383.80	$383.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.80 / $497.80 / $497.80	Professional		$383.80	$497.80	$497.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $5,246.94 / $74,999.25	Facility		$555.00	$5,246.94	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $627.20 / $2,120.84	Professional		$375.00	$627.20	$2,120.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $497.80 / $497.80 / $497.80	Professional		$497.80	$497.80	$497.80