Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,232.65 / $5,224.00 / $11,996.00	Facility		$1,232.65	$5,224.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $864.22 / $986.99 / $1,845.43	Professional		$864.22	$986.99	$1,845.43
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 $778.82 / $1,018.07 / $2,342.48	Professional		$778.82	$1,018.07	$2,342.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,338.44 / $2,644.00 / $12,319.50	Facility		$1,338.44	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,338.44 / $1,338.44 / $1,338.44	Professional		$1,338.44	$1,338.44	$1,338.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,073.61 / $1,073.61 / $1,073.61	Facility		$1,073.61	$1,073.61	$1,073.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $944.99 / $1,434.17 / $3,579.25	Professional		$944.99	$1,434.17	$3,579.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,380.00 / $2,528.53	Facility		$332.00	$1,380.00	$2,528.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,034.43 / $1,467.71 / $2,168.91	Professional		$1,034.43	$1,467.71	$2,168.91
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $888.31 / $888.31 / $888.31	Facility		$888.31	$888.31	$888.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $770.73 / $963.42 / $1,999.40	Professional		$770.73	$963.42	$1,999.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $23,612.00	Facility		$555.00	$597.00	$23,612.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $978.89 / $1,434.17 / $3,319.90	Professional		$978.89	$1,434.17	$3,319.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $6,344.00 / $14,401.00	Facility		$2,705.00	$6,344.00	$14,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $845.57 / $1,240.63 / $2,991.50	Professional		$845.57	$1,240.63	$2,991.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,133.43 / $1,133.43 / $4,473.32	Facility		$1,133.43	$1,133.43	$4,473.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $816.19 / $1,237.95 / $2,395.89	Professional		$816.19	$1,237.95	$2,395.89