Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,074.88 / $4,452.00 / $10,686.00	Facility		$1,074.88	$4,452.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.06 / $917.09 / $1,716.61	Professional		$785.06	$917.09	$1,716.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $747.22 / $967.85 / $2,270.06	Professional		$747.22	$967.85	$2,270.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,210.64 / $2,972.50 / $8,917.50	Facility		$1,210.64	$2,972.50	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,210.64 / $1,210.64 / $1,210.64	Professional		$1,210.64	$1,210.64	$1,210.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,086.20 / $1,086.20 / $1,086.20	Facility		$1,086.20	$1,086.20	$1,086.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $882.40 / $1,370.23 / $3,434.00	Professional		$882.40	$1,370.23	$3,434.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,129.00 / $2,676.02	Facility		$332.00	$1,129.00	$2,676.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.11 / $1,498.57 / $2,295.42	Professional		$1,047.11	$1,498.57	$2,295.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $882.77 / $882.77 / $882.77	Facility		$882.77	$882.77	$882.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $683.95 / $1,235.86 / $1,986.50	Professional		$683.95	$1,235.86	$1,986.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $37,776.00	Facility		$555.00	$597.00	$37,776.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $920.36 / $1,340.32 / $3,387.05	Professional		$920.36	$1,340.32	$3,387.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,762.00 / $16,961.00	Facility		$2,341.00	$6,762.00	$16,961.00
United Facility/Professional Professional Modifier Low / Median / High Price $757.09 / $1,129.53 / $2,875.50	Professional		$757.09	$1,129.53	$2,875.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,585.57 / $1,585.57 / $3,326.60	Facility		$1,585.57	$1,585.57	$3,326.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $765.76 / $1,324.33 / $2,313.37	Professional		$765.76	$1,324.33	$2,313.37