Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.14 / $4,392.00 / $10,024.00	Facility		$1,169.14	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $834.39 / $991.28 / $1,835.73	Professional		$834.39	$991.28	$1,835.73
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 $699.18 / $913.97 / $2,152.23	Professional		$699.18	$913.97	$2,152.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,334.27 / $1,990.00 / $8,917.50	Facility		$1,334.27	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,334.27 / $1,334.27 / $1,334.27	Professional		$1,334.27	$1,334.27	$1,334.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,052.08 / $1,052.08 / $1,052.08	Facility		$1,052.08	$1,052.08	$1,052.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $928.86 / $1,411.83 / $3,456.12	Professional		$928.86	$1,411.83	$3,456.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,002.75 / $2,460.48	Facility		$332.00	$1,002.75	$2,460.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.65 / $1,451.91 / $2,110.55	Professional		$1,096.65	$1,451.91	$2,110.55
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $864.23 / $864.23 / $864.23	Facility		$864.23	$864.23	$864.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.38 / $1,116.84 / $1,970.15	Professional		$691.38	$1,116.84	$1,970.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,052.08	Facility		$555.00	$597.00	$1,052.08
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $944.41 / $1,390.37 / $3,149.98	Professional		$944.41	$1,390.37	$3,149.98
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 $832.24 / $1,187.45 / $2,854.05	Professional		$832.24	$1,187.45	$2,854.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,116.84 / $1,116.84 / $4,522.39	Facility		$1,116.84	$1,116.84	$4,522.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $759.46 / $1,204.39 / $2,360.84	Professional		$759.46	$1,204.39	$2,360.84