Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,255.45 / $4,409.00 / $10,024.00	Facility		$1,255.45	$4,409.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $901.53 / $1,064.74 / $1,925.76	Professional		$901.53	$1,064.74	$1,925.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $757.13 / $989.72 / $2,358.90	Professional		$757.13	$989.72	$2,358.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,436.09 / $1,990.00 / $8,917.50	Facility		$1,436.09	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,436.09 / $1,436.09 / $1,436.09	Professional		$1,436.09	$1,436.09	$1,436.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,131.88 / $1,131.88 / $1,131.88	Facility		$1,131.88	$1,131.88	$1,131.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $998.77 / $1,535.84 / $3,744.82	Professional		$998.77	$1,535.84	$3,744.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,072.03 / $2,646.86	Facility		$332.00	$1,072.03	$2,646.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,082.94 / $1,538.18 / $2,270.41	Professional		$1,082.94	$1,538.18	$2,270.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $929.96 / $929.96 / $929.96	Facility		$929.96	$929.96	$929.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $817.04 / $1,201.52 / $2,119.52	Professional		$817.04	$1,201.52	$2,119.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,131.88	Facility		$555.00	$597.00	$1,131.88
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,019.53 / $1,514.10 / $3,438.72	Professional		$1,019.53	$1,514.10	$3,438.72
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 $911.24 / $1,297.55 / $3,079.78	Professional		$911.24	$1,297.55	$3,079.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,201.52 / $1,201.52 / $4,972.72	Facility		$1,201.52	$1,201.52	$4,972.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $873.78 / $1,295.99 / $2,539.83	Professional		$873.78	$1,295.99	$2,539.83