Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,139.66 / $5,824.00 / $37,154.00	Facility		$1,139.66	$5,824.00	$37,154.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.46 / $860.03 / $1,604.74	Professional		$738.46	$860.03	$1,604.74
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 $669.90 / $875.69 / $2,010.12	Professional		$669.90	$875.69	$2,010.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,164.83 / $2,644.00 / $12,319.50	Facility		$1,164.83	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,164.83 / $1,164.83 / $1,164.83	Professional		$1,164.83	$1,164.83	$1,164.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $938.52 / $938.52 / $41,647.00	Facility		$938.52	$938.52	$41,647.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.97 / $1,231.05 / $3,111.57	Professional		$815.97	$1,231.05	$3,111.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,062.00 / $4,311.72	Facility		$332.00	$1,062.00	$4,311.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $904.76 / $1,284.23 / $1,897.60	Professional		$904.76	$1,284.23	$1,897.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.95 / $776.95 / $776.95	Facility		$776.95	$776.95	$776.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $664.28 / $990.27 / $1,746.87	Professional		$664.28	$990.27	$1,746.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $938.52 / $54,793.00	Facility		$555.00	$938.52	$54,793.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $849.61 / $1,234.94 / $2,883.03	Professional		$849.61	$1,234.94	$2,883.03
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 $730.52 / $1,066.36 / $2,639.45	Professional		$730.52	$1,066.36	$2,639.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $990.27 / $990.27 / $3,400.31	Facility		$990.27	$990.27	$3,400.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $673.39 / $1,082.76 / $2,093.28	Professional		$673.39	$1,082.76	$2,093.28