Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,066.58 / $4,392.00 / $10,024.00	Facility		$1,066.58	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $773.39 / $947.39 / $1,887.36	Professional		$773.39	$947.39	$1,887.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,381.00 / $4,120.00 / $8,640.00	Facility		$2,381.00	$4,120.00	$8,640.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $710.73 / $909.62 / $2,085.69	Professional		$710.73	$909.62	$2,085.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,224.72 / $1,224.72 / $37,499.62	Facility		$1,224.72	$1,224.72	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,224.72 / $1,224.72 / $1,224.72	Professional		$1,224.72	$1,224.72	$1,224.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,021.10 / $1,021.10 / $1,021.10	Facility		$1,021.10	$1,021.10	$1,021.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.42 / $1,337.32 / $3,556.66	Professional		$864.42	$1,337.32	$3,556.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $984.33 / $2,512.76	Facility		$332.00	$984.33	$2,512.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $977.60 / $1,407.14 / $2,155.39	Professional		$977.60	$1,407.14	$2,155.39
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $830.16 / $830.16 / $830.16	Facility		$830.16	$830.16	$830.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $626.50 / $900.02 / $1,867.83	Professional		$626.50	$900.02	$1,867.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,021.10	Facility		$555.00	$597.00	$1,021.10
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $859.96 / $1,340.83 / $3,222.46	Professional		$859.96	$1,340.83	$3,222.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $755.94 / $1,129.86 / $2,952.91	Professional		$755.94	$1,129.86	$2,952.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,058.84 / $1,058.84 / $2,926.50	Facility		$1,058.84	$1,058.84	$2,926.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $720.02 / $1,156.92 / $2,238.23	Professional		$720.02	$1,156.92	$2,238.23