Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,016.00 / $7,251.00 / $18,757.00	Facility		$3,016.00	$7,251.00	$18,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,626.00 / $7,257.00 / $19,741.00	Professional		$2,626.00	$7,257.00	$19,741.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,661.00 / $13,152.00 / $27,864.00	Facility		$4,661.00	$13,152.00	$27,864.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.26 / $761.49 / $1,334.00	Professional		$647.26	$761.49	$1,334.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $269.55 / $269.55 / $269.55	Facility		$269.55	$269.55	$269.55
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $269.55 / $269.55 / $269.55	Professional		$269.55	$269.55	$269.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,210.00 / $33,708.00 / $40,612.00	Facility		$10,210.00	$33,708.00	$40,612.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.24 / $863.74 / $863.74	Professional		$242.24	$863.74	$863.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6,429.00 / $15,064.00 / $19,048.00	Facility		$6,429.00	$15,064.00	$19,048.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $743.57 / $743.57 / $743.57	Professional		$743.57	$743.57	$743.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.85 / $263.27 / $348.86	Professional		$152.85	$263.27	$348.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $23,708.00 / $40,612.00	Facility		$555.00	$23,708.00	$40,612.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $160.02 / $242.24 / $522.12	Professional		$160.02	$242.24	$522.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,719.00 / $16,692.00	Facility		$2,705.00	$7,719.00	$16,692.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.32 / $234.85 / $484.18	Professional		$183.32	$234.85	$484.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $258.76 / $258.76 / $258.76	Facility		$258.76	$258.76	$258.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $152.85 / $273.27 / $396.51	Professional		$152.85	$273.27	$396.51