Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,180.54 / $5,157.00 / $11,396.00	Facility		$1,180.54	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.34 / $942.71 / $1,941.84	Professional		$823.34	$942.71	$1,941.84
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 $738.11 / $964.86 / $2,216.06	Professional		$738.11	$964.86	$2,216.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,276.19 / $2,644.00 / $12,319.50	Facility		$1,276.19	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,276.19 / $1,276.19 / $1,276.19	Professional		$1,276.19	$1,276.19	$1,276.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,026.31 / $1,026.31 / $1,026.31	Facility		$1,026.31	$1,026.31	$1,026.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.36 / $1,360.98 / $3,414.04	Professional		$901.36	$1,360.98	$3,414.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,313.00 / $2,419.13	Facility		$332.00	$1,313.00	$2,419.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $989.42 / $1,404.32 / $2,075.08	Professional		$989.42	$1,404.32	$2,075.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $849.65 / $849.65 / $849.65	Facility		$849.65	$849.65	$849.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $737.39 / $921.73 / $1,912.90	Professional		$737.39	$921.73	$1,912.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,026.31	Facility		$555.00	$597.00	$1,026.31
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $932.97 / $1,360.98 / $3,156.14	Professional		$932.97	$1,360.98	$3,156.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $798.50 / $1,106.61 / $2,775.87	Professional		$798.50	$1,106.61	$2,775.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,084.39 / $1,084.39 / $4,178.50	Facility		$1,084.39	$1,084.39	$4,178.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $762.20 / $1,184.07 / $2,292.23	Professional		$762.20	$1,184.07	$2,292.23