Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,130.58 / $4,392.00 / $10,024.00	Facility		$1,130.58	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $747.97 / $979.13 / $1,810.38	Professional		$747.97	$979.13	$1,810.38
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 $716.19 / $926.89 / $2,006.05	Professional		$716.19	$926.89	$2,006.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,315.11 / $1,990.00 / $8,917.50	Facility		$1,315.11	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,315.11 / $1,315.11 / $1,315.11	Professional		$1,315.11	$1,315.11	$1,315.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,042.04 / $1,042.04 / $1,042.04	Facility		$1,042.04	$1,042.04	$1,042.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $909.98 / $1,351.38 / $3,414.40	Professional		$909.98	$1,351.38	$3,414.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $988.12 / $2,439.79	Facility		$332.00	$988.12	$2,439.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,086.93 / $1,439.63 / $2,092.80	Professional		$1,086.93	$1,439.63	$2,092.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.92 / $856.92 / $856.92	Facility		$856.92	$856.92	$856.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $674.27 / $940.17 / $1,951.15	Professional		$674.27	$940.17	$1,951.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,042.04	Facility		$555.00	$597.00	$1,042.04
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $921.70 / $1,351.38 / $3,105.09	Professional		$921.70	$1,351.38	$3,105.09
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 $795.25 / $1,116.90 / $2,699.89	Professional		$795.25	$1,116.90	$2,699.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,106.08 / $1,106.08 / $4,344.53	Facility		$1,106.08	$1,106.08	$4,344.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $752.13 / $1,150.32 / $2,338.08	Professional		$752.13	$1,150.32	$2,338.08