Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.36 / $3,731.00 / $10,170.00	Facility		$1,013.36	$3,731.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $743.80 / $884.53 / $1,503.87	Professional		$743.80	$884.53	$1,503.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,284.00 / $4,085.00 / $8,640.00	Facility		$2,284.00	$4,085.00	$8,640.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $670.36 / $876.30 / $2,067.59	Professional		$670.36	$876.30	$2,067.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,129.50 / $1,129.50 / $37,499.62	Facility		$1,129.50	$1,129.50	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,129.50 / $1,129.50 / $1,129.50	Professional		$1,129.50	$1,129.50	$1,129.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $903.07 / $903.07 / $903.07	Facility		$903.07	$903.07	$903.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $798.73 / $1,305.82 / $3,156.93	Professional		$798.73	$1,305.82	$3,156.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,282.00 / $2,255.92	Facility		$332.00	$1,282.00	$2,255.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $856.85 / $1,214.51 / $1,796.35	Professional		$856.85	$1,214.51	$1,796.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $735.81 / $735.81 / $735.81	Facility		$735.81	$735.81	$735.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $669.33 / $1,030.14 / $1,659.46	Professional		$669.33	$1,030.14	$1,659.46
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 $845.31 / $1,283.69 / $3,129.28	Professional		$845.31	$1,283.69	$3,129.28
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 $755.02 / $1,050.46 / $2,707.99	Professional		$755.02	$1,050.46	$2,707.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,324.54 / $1,324.54 / $4,148.76	Facility		$1,324.54	$1,324.54	$4,148.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $735.81 / $1,103.85 / $1,988.54	Professional		$735.81	$1,103.85	$1,988.54