Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.34 / $5,324.00 / $12,592.00	Facility		$1,084.34	$5,324.00	$12,592.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.86 / $845.29 / $1,580.05	Professional		$748.86	$845.29	$1,580.05
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 $636.49 / $832.02 / $1,949.03	Professional		$636.49	$832.02	$1,949.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,141.88 / $1,141.88 / $37,499.62	Facility		$1,141.88	$1,141.88	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,141.88 / $1,141.88 / $1,141.88	Professional		$1,141.88	$1,141.88	$1,141.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $942.61 / $942.61 / $942.61	Facility		$942.61	$942.61	$942.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $801.11 / $1,238.63 / $3,014.88	Professional		$801.11	$1,238.63	$3,014.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,105.00 / $2,221.73	Facility		$332.00	$1,105.00	$2,221.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $908.73 / $1,289.78 / $1,905.76	Professional		$908.73	$1,289.78	$1,905.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $780.36 / $780.36 / $780.36	Facility		$780.36	$780.36	$780.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.57 / $994.96 / $1,755.13	Professional		$676.57	$994.96	$1,755.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $942.61	Facility		$555.00	$597.00	$942.61
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $839.32 / $1,281.43 / $2,873.23	Professional		$839.32	$1,281.43	$2,873.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $34,816.00	Facility		$2,341.00	$6,700.00	$34,816.00
United Facility/Professional Professional Modifier Low / Median / High Price $736.00 / $1,061.80 / $2,589.10	Professional		$736.00	$1,061.80	$2,589.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $994.96 / $994.96 / $3,775.63	Facility		$994.96	$994.96	$3,775.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $701.49 / $1,087.51 / $2,103.17	Professional		$701.49	$1,087.51	$2,103.17