Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,066.46 / $4,545.00 / $10,686.00	Facility		$1,066.46	$4,545.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.47 / $898.02 / $1,562.36	Professional		$765.47	$898.02	$1,562.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.81 / $969.69 / $2,205.19	Professional		$741.81	$969.69	$2,205.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,215.26 / $2,972.50 / $8,917.50	Facility		$1,215.26	$2,972.50	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,215.26 / $1,215.26 / $1,215.26	Professional		$1,215.26	$1,215.26	$1,215.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $1,017.00 / $1,017.00	Facility		$1,017.00	$1,017.00	$1,017.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $873.49 / $1,333.34 / $3,514.13	Professional		$873.49	$1,333.34	$3,514.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,110.00 / $2,467.76	Facility		$332.00	$1,110.00	$2,467.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $975.84 / $1,397.61 / $2,116.79	Professional		$975.84	$1,397.61	$2,116.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.91 / $831.91 / $831.91	Facility		$831.91	$831.91	$831.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $681.26 / $1,164.67 / $1,848.55	Professional		$681.26	$1,164.67	$1,848.55
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 $889.93 / $1,309.06 / $3,440.54	Professional		$889.93	$1,309.06	$3,440.54
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 $771.20 / $1,138.68 / $2,865.40	Professional		$771.20	$1,138.68	$2,865.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,475.46 / $1,475.46 / $3,326.60	Facility		$1,475.46	$1,475.46	$3,326.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $712.58 / $1,248.03 / $2,215.12	Professional		$712.58	$1,248.03	$2,215.12