Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,135.84 / $4,629.00 / $10,526.00	Facility		$1,135.84	$4,629.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.99 / $932.83 / $1,798.70	Professional		$808.99	$932.83	$1,798.70
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 $726.44 / $949.60 / $2,158.62	Professional		$726.44	$949.60	$2,158.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,265.65 / $2,390.00 / $10,957.50	Facility		$1,265.65	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,265.65 / $1,265.65 / $1,265.65	Professional		$1,265.65	$1,265.65	$1,265.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,016.63 / $1,016.63 / $1,016.63	Facility		$1,016.63	$1,016.63	$1,016.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.25 / $1,386.87 / $3,356.71	Professional		$880.25	$1,386.87	$3,356.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $968.20 / $2,394.71	Facility		$332.00	$968.20	$2,394.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $979.78 / $1,390.97 / $2,054.14	Professional		$979.78	$1,390.97	$2,054.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $841.37 / $841.37 / $841.37	Facility		$841.37	$841.37	$841.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $731.01 / $1,075.02 / $1,896.36	Professional		$731.01	$1,075.02	$1,896.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,016.63	Facility		$555.00	$597.00	$1,016.63
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $916.41 / $1,360.03 / $3,094.20	Professional		$916.41	$1,360.03	$3,094.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $794.08 / $1,165.84 / $2,732.77	Professional		$794.08	$1,165.84	$2,732.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,075.02 / $1,075.02 / $4,444.97	Facility		$1,075.02	$1,075.02	$4,444.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $779.07 / $1,172.53 / $2,272.41	Professional		$779.07	$1,172.53	$2,272.41