Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,034.00 / $6,230.00	Facility		$1,000.00	$3,034.00	$6,230.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,080.00	Professional		$1,000.00	$1,000.00	$1,080.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,129.83 / $1,417.83 / $5,229.45	Professional		$1,129.83	$1,417.83	$5,229.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $135.82 / $135.82 / $3,763.64	Facility		$135.82	$135.82	$3,763.64
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $135.82 / $3,763.64 / $3,899.47	Professional		$135.82	$3,763.64	$3,899.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,462.57 / $1,948.85 / $4,685.18	Facility		$1,462.57	$1,948.85	$4,685.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.01 / $1,418.39 / $3,346.02	Professional		$520.01	$1,418.39	$3,346.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,046.75 / $4,996.97	Facility		$332.00	$2,046.75	$4,996.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.79 / $2,324.08 / $4,062.30	Professional		$114.79	$2,324.08	$4,062.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,216.04 / $1,216.04 / $1,216.04	Facility		$1,216.04	$1,216.04	$1,216.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,216.04 / $2,197.33 / $3,400.41	Professional		$1,216.04	$2,197.33	$3,400.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $1,948.85 / $7,273.65	Facility		$254.50	$1,948.85	$7,273.65
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $786.92 / $3,174.31 / $7,357.00	Professional		$786.92	$3,174.31	$7,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,157.94 / $2,851.08 / $6,069.85	Professional		$2,157.94	$2,851.08	$6,069.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,081.55 / $2,081.55 / $3,314.69	Facility		$2,081.55	$2,081.55	$3,314.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,846.50 / $2,418.69 / $4,135.03	Professional		$1,846.50	$2,418.69	$4,135.03