Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $5,856.00 / $14,113.00	Facility		$1,335.00	$5,856.00	$14,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.05 / $458.52 / $793.02	Professional		$406.05	$458.52	$793.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,731.00 / $14,710.00 / $30,958.00	Facility		$5,731.00	$14,710.00	$30,958.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.08 / $419.72 / $1,009.66	Professional		$321.08	$419.72	$1,009.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $555.62 / $2,390.00 / $13,477.50	Facility		$555.62	$2,390.00	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $555.62 / $555.62 / $555.62	Professional		$555.62	$555.62	$555.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,507.00 / $19,581.00 / $59,610.00	Facility		$6,507.00	$19,581.00	$59,610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.78 / $667.76 / $1,329.12	Professional		$392.78	$667.76	$1,329.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $260.08 / $391.58 / $936.23	Facility		$260.08	$391.58	$936.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $374.49 / $516.61 / $773.13	Professional		$374.49	$516.61	$773.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.47 / $432.06 / $662.55	Professional		$339.47	$432.06	$662.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $18,211.00 / $32,297.00	Facility		$555.00	$18,211.00	$32,297.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $400.70 / $629.40 / $1,203.23	Professional		$400.70	$629.40	$1,203.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,840.00	Facility		$1,079.00	$2,826.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.09 / $504.09 / $1,099.64	Professional		$374.09	$504.09	$1,099.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $525.78 / $525.78 / $960.00	Facility		$525.78	$525.78	$960.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $339.47 / $525.78 / $960.00	Professional		$339.47	$525.78	$960.00