Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,186.75 / $4,392.00 / $10,024.00	Facility		$1,186.75	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $830.91 / $950.36 / $1,767.03	Professional		$830.91	$950.36	$1,767.03
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 $741.52 / $969.32 / $2,197.12	Professional		$741.52	$969.32	$2,197.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,281.90 / $1,990.00 / $8,917.50	Facility		$1,281.90	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,281.90 / $1,281.90 / $1,281.90	Professional		$1,281.90	$1,281.90	$1,281.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,031.52 / $1,031.52 / $1,031.52	Facility		$1,031.52	$1,031.52	$1,031.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.70 / $1,431.83 / $3,428.74	Professional		$910.70	$1,431.83	$3,428.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $981.13 / $2,431.44	Facility		$332.00	$981.13	$2,431.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $994.40 / $1,411.51 / $2,085.64	Professional		$994.40	$1,411.51	$2,085.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $853.93 / $853.93 / $853.93	Facility		$853.93	$853.93	$853.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $740.86 / $1,089.51 / $1,921.91	Professional		$740.86	$1,089.51	$1,921.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,031.52	Facility		$555.00	$597.00	$1,031.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $938.40 / $1,445.41 / $3,211.09	Professional		$938.40	$1,445.41	$3,211.09
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 $811.75 / $1,179.64 / $2,915.39	Professional		$811.75	$1,179.64	$2,915.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,089.51 / $1,089.51 / $5,186.08	Facility		$1,089.51	$1,089.51	$5,186.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $853.93 / $1,190.03 / $2,303.04	Professional		$853.93	$1,190.03	$2,303.04