Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,205.93 / $5,157.00 / $11,396.00	Facility		$1,205.93	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $834.27 / $962.02 / $1,796.46	Professional		$834.27	$962.02	$1,796.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,168.00	Facility		$3,283.00	$5,434.00	$12,168.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.48 / $984.95 / $2,249.40	Professional		$753.48	$984.95	$2,249.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,302.88 / $1,302.88 / $37,499.62	Facility		$1,302.88	$1,302.88	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,302.88 / $1,302.88 / $1,302.88	Professional		$1,302.88	$1,302.88	$1,302.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,048.25 / $1,048.25 / $1,048.25	Facility		$1,048.25	$1,048.25	$1,048.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $919.10 / $1,380.12 / $3,483.55	Professional		$919.10	$1,380.12	$3,483.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,294.00 / $2,471.31	Facility		$332.00	$1,294.00	$2,471.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,010.50 / $1,434.55 / $2,119.83	Professional		$1,010.50	$1,434.55	$2,119.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $867.75 / $867.75 / $867.75	Facility		$867.75	$867.75	$867.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $752.48 / $1,106.53 / $1,952.04	Professional		$752.48	$1,106.53	$1,952.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,048.25	Facility		$555.00	$597.00	$1,048.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $952.47 / $1,379.19 / $3,220.38	Professional		$952.47	$1,379.19	$3,220.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $6,344.00 / $16,622.00	Facility		$2,444.00	$6,344.00	$16,622.00
United Facility/Professional Professional Modifier Low / Median / High Price $818.53 / $1,150.49 / $2,786.45	Professional		$818.53	$1,150.49	$2,786.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,106.58 / $1,106.58 / $3,935.87	Facility		$1,106.58	$1,106.58	$3,935.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $753.99 / $1,150.84 / $2,339.14	Professional		$753.99	$1,150.84	$2,339.14