Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,224.10 / $4,392.00 / $10,024.00	Facility		$1,224.10	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.61 / $986.50 / $1,839.72	Professional		$815.61	$986.50	$1,839.72
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 $773.41 / $1,011.00 / $2,185.44	Professional		$773.41	$1,011.00	$2,185.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,335.22 / $1,990.00 / $8,917.50	Facility		$1,335.22	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,335.22 / $1,335.22 / $1,335.22	Professional		$1,335.22	$1,335.22	$1,335.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,073.55 / $1,073.55 / $1,073.55	Facility		$1,073.55	$1,073.55	$1,073.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $937.80 / $1,425.28 / $3,576.15	Professional		$937.80	$1,425.28	$3,576.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,599.79 / $2,582.40	Facility		$332.00	$1,599.79	$2,582.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,034.97 / $1,469.03 / $2,170.81	Professional		$1,034.97	$1,469.03	$2,170.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $888.77 / $888.77 / $888.77	Facility		$888.77	$888.77	$888.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $770.59 / $1,133.23 / $1,999.04	Professional		$770.59	$1,133.23	$1,999.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,073.55	Facility		$555.00	$597.00	$1,073.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $961.07 / $1,443.94 / $3,304.55	Professional		$961.07	$1,443.94	$3,304.55
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 $839.78 / $1,208.08 / $3,037.15	Professional		$839.78	$1,208.08	$3,037.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,133.23 / $1,133.23 / $4,625.04	Facility		$1,133.23	$1,133.23	$4,625.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $826.82 / $1,238.58 / $2,395.46	Professional		$826.82	$1,238.58	$2,395.46