Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,126.51 / $4,392.00 / $10,024.00	Facility		$1,126.51	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.44 / $951.43 / $1,740.56	Professional		$825.44	$951.43	$1,740.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,264.00 / $12,538.00	Facility		$4,046.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.48 / $984.95 / $2,111.09	Professional		$753.48	$984.95	$2,111.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,289.68 / $1,289.68 / $8,917.50	Facility		$1,289.68	$1,289.68	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,289.68 / $1,289.68 / $1,289.68	Professional		$1,289.68	$1,289.68	$1,289.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,032.63 / $1,032.63 / $1,032.63	Facility		$1,032.63	$1,032.63	$1,032.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $900.43 / $1,362.97 / $3,379.21	Professional		$900.43	$1,362.97	$3,379.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,271.00 / $2,420.10	Facility		$332.00	$1,271.00	$2,420.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $997.76 / $1,407.19 / $2,075.91	Professional		$997.76	$1,407.19	$2,075.91
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.81 / $856.81 / $856.81	Facility		$856.81	$856.81	$856.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $742.16 / $1,091.42 / $1,925.29	Professional		$742.16	$1,091.42	$1,925.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,032.63	Facility		$555.00	$597.00	$1,032.63
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $934.06 / $1,362.97 / $3,187.10	Professional		$934.06	$1,362.97	$3,187.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $821.08 / $1,205.97 / $2,889.86	Professional		$821.08	$1,205.97	$2,889.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,091.42 / $1,091.42 / $4,121.64	Facility		$1,091.42	$1,091.42	$4,121.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $758.07 / $1,135.08 / $2,307.08	Professional		$758.07	$1,135.08	$2,307.08