Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,199.27 / $4,409.00 / $10,024.00	Facility		$1,199.27	$4,409.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.91 / $963.13 / $1,846.07	Professional		$839.91	$963.13	$1,846.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $9,808.00 / $16,411.00	Facility		$4,977.00	$9,808.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $750.06 / $980.48 / $2,302.71	Professional		$750.06	$980.48	$2,302.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,296.75 / $1,990.00 / $8,917.50	Facility		$1,296.75	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,296.75 / $1,296.75 / $1,296.75	Professional		$1,296.75	$1,296.75	$1,296.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,042.67 / $1,042.67 / $1,042.67	Facility		$1,042.67	$1,042.67	$1,042.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.10 / $1,468.93 / $3,469.20	Professional		$920.10	$1,468.93	$3,469.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,210.00 / $2,457.79	Facility		$332.00	$1,210.00	$2,457.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,005.19 / $1,426.75 / $2,108.23	Professional		$1,005.19	$1,426.75	$2,108.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $863.20 / $863.20 / $863.20	Facility		$863.20	$863.20	$863.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $748.97 / $1,101.43 / $1,942.95	Professional		$748.97	$1,101.43	$1,942.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,042.67	Facility		$555.00	$597.00	$1,042.67
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $950.61 / $1,429.84 / $3,248.76	Professional		$950.61	$1,429.84	$3,248.76
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 $814.81 / $1,213.22 / $2,904.72	Professional		$814.81	$1,213.22	$2,904.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,101.43 / $1,101.43 / $5,260.20	Facility		$1,101.43	$1,101.43	$5,260.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $863.20 / $1,202.95 / $2,328.25	Professional		$863.20	$1,202.95	$2,328.25