Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.03 / $3,111.00 / $10,170.00	Facility		$933.03	$3,111.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $747.17 / $906.64 / $1,559.59	Professional		$747.17	$906.64	$1,559.59
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 $723.88 / $917.86 / $2,050.91	Professional		$723.88	$917.86	$2,050.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,087.33 / $1,716.00 / $6,213.00	Facility		$1,087.33	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,087.33 / $1,087.33 / $1,246.81	Professional		$1,087.33	$1,087.33	$1,246.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,333.12 / $1,333.12 / $1,333.12	Facility		$1,333.12	$1,333.12	$1,333.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $803.15 / $1,233.15 / $3,284.25	Professional		$803.15	$1,233.15	$3,284.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,042.00 / $2,127.31	Facility		$332.00	$1,042.00	$2,127.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $991.39 / $1,422.13 / $2,104.94	Professional		$991.39	$1,422.13	$2,104.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.34 / $851.34 / $851.34	Facility		$851.34	$851.34	$851.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $717.83 / $1,085.60 / $1,904.63	Professional		$717.83	$1,085.60	$1,904.63
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 $841.11 / $1,274.59 / $3,284.25	Professional		$841.11	$1,274.59	$3,284.25
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 $777.40 / $1,147.26 / $2,887.19	Professional		$777.40	$1,147.26	$2,887.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,316.74 / $1,316.74 / $3,135.33	Facility		$1,316.74	$1,316.74	$3,135.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $717.83 / $1,277.19 / $1,988.12	Professional		$717.83	$1,277.19	$1,988.12