Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,120.00 / $5,700.00	Facility		$1,400.00	$3,120.00	$5,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,560.00 / $3,000.00	Professional		$1,000.00	$1,560.00	$3,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $5,200.00	Facility		$2,000.00	$2,000.00	$5,200.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $1,020.00 / $3,696.80	Professional		$800.00	$1,020.00	$3,696.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $2,000.00 / $2,000.00	Facility		$1,200.00	$2,000.00	$2,000.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,204.55 / $2,000.00 / $2,000.00	Professional		$1,204.55	$2,000.00	$2,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,446.09 / $4,225.00 / $5,338.97	Facility		$2,446.09	$4,225.00	$5,338.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,214.05 / $3,106.53 / $6,490.45	Professional		$1,214.05	$3,106.53	$6,490.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $138.00 / $332.00 / $4,500.00	Facility		$138.00	$332.00	$4,500.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $2,100.00 / $3,660.00	Professional		$1,400.00	$2,100.00	$3,660.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,600.00 / $1,900.00 / $3,567.10	Professional		$1,600.00	$1,900.00	$3,567.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $4,631.74 / $5,338.97	Facility		$254.50	$4,631.74	$5,338.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $2,448.27 / $5,487.51	Professional		$1,300.00	$2,448.27	$5,487.51
United Facility/Professional Professional Modifier Low / Median / High Price $840.00 / $1,200.00 / $3,000.00	Professional		$840.00	$1,200.00	$3,000.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,120.00 / $2,120.00 / $2,120.00	Facility		$2,120.00	$2,120.00	$2,120.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,700.00 / $2,000.00 / $2,353.98	Professional		$1,700.00	$2,000.00	$2,353.98