Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,226.97 / $5,164.00 / $11,880.00	Facility		$1,226.97	$5,164.00	$11,880.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $859.16 / $979.35 / $1,827.84	Professional		$859.16	$979.35	$1,827.84
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 $768.00 / $1,003.93 / $2,259.17	Professional		$768.00	$1,003.93	$2,259.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,326.60 / $2,644.00 / $12,319.50	Facility		$1,326.60	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,326.60 / $1,326.60 / $1,326.60	Professional		$1,326.60	$1,326.60	$1,326.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,066.85 / $1,066.85 / $1,066.85	Facility		$1,066.85	$1,066.85	$1,066.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.07 / $1,407.57 / $3,545.17	Professional		$932.07	$1,407.57	$3,545.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,370.00 / $2,515.48	Facility		$332.00	$1,370.00	$2,515.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,028.43 / $1,460.09 / $2,157.71	Professional		$1,028.43	$1,460.09	$2,157.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $883.15 / $883.15 / $883.15	Facility		$883.15	$883.15	$883.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $765.74 / $957.18 / $1,986.44	Professional		$765.74	$957.18	$1,986.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,066.85	Facility		$555.00	$597.00	$1,066.85
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $969.65 / $1,408.57 / $3,278.31	Professional		$969.65	$1,408.57	$3,278.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $7,719.00 / $18,532.00	Facility		$2,673.00	$7,719.00	$18,532.00
United Facility/Professional Professional Modifier Low / Median / High Price $834.02 / $1,172.33 / $2,885.31	Professional		$834.02	$1,172.33	$2,885.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,126.08 / $1,126.08 / $4,375.95	Facility		$1,126.08	$1,126.08	$4,375.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $796.30 / $1,230.75 / $2,380.37	Professional		$796.30	$1,230.75	$2,380.37