Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,103.79 / $5,796.00 / $37,154.00	Facility		$1,103.79	$5,796.00	$37,154.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.41 / $832.98 / $1,556.07	Professional		$715.41	$832.98	$1,556.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $9,901.00 / $18,247.00	Facility		$4,977.00	$9,901.00	$18,247.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $648.48 / $847.69 / $1,948.46	Professional		$648.48	$847.69	$1,948.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,128.73 / $1,128.73 / $12,319.50	Facility		$1,128.73	$1,128.73	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,128.73 / $1,128.73 / $1,128.73	Professional		$1,128.73	$1,128.73	$1,128.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $909.50 / $909.50 / $41,647.00	Facility		$909.50	$909.50	$41,647.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $790.14 / $1,183.08 / $3,013.08	Professional		$790.14	$1,183.08	$3,013.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $998.00 / $4,051.88	Facility		$332.00	$998.00	$4,051.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $876.75 / $1,244.57 / $1,838.96	Professional		$876.75	$1,244.57	$1,838.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $752.90 / $752.90 / $752.90	Facility		$752.90	$752.90	$752.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $628.55 / $959.73 / $1,692.98	Professional		$628.55	$959.73	$1,692.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $909.50 / $54,793.00	Facility		$555.00	$909.50	$54,793.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $820.55 / $1,194.32 / $2,792.06	Professional		$820.55	$1,194.32	$2,792.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $41,192.00	Facility		$2,264.00	$5,963.00	$41,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $709.79 / $997.48 / $2,515.42	Professional		$709.79	$997.48	$2,515.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $959.73 / $959.73 / $3,195.71	Facility		$959.73	$959.73	$3,195.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $628.55 / $998.11 / $2,028.70	Professional		$628.55	$998.11	$2,028.70