Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.33 / $4,640.82 / $10,686.00	Facility		$1,146.33	$4,640.82	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.34 / $974.41 / $2,317.60	Professional		$798.34	$974.41	$2,317.60
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 $755.47 / $987.55 / $2,147.19	Professional		$755.47	$987.55	$2,147.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,298.82 / $1,298.82 / $16,534.50	Facility		$1,298.82	$1,298.82	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,298.82 / $1,298.82 / $1,298.82	Professional		$1,298.82	$1,298.82	$1,298.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,043.05 / $1,043.05 / $1,043.05	Facility		$1,043.05	$1,043.05	$1,043.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.14 / $1,385.54 / $3,470.68	Professional		$910.14	$1,385.54	$3,470.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $975.00 / $2,458.26	Facility		$332.00	$975.00	$2,458.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,005.71 / $1,427.00 / $2,108.64	Professional		$1,005.71	$1,427.00	$2,108.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $863.64 / $863.64 / $863.64	Facility		$863.64	$863.64	$863.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $749.09 / $1,101.59 / $1,943.25	Professional		$749.09	$1,101.59	$1,943.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,043.05	Facility		$555.00	$597.00	$1,043.05
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $948.49 / $1,385.54 / $3,206.32	Professional		$948.49	$1,385.54	$3,206.32
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 $817.92 / $1,170.97 / $2,949.82	Professional		$817.92	$1,170.97	$2,949.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,101.59 / $1,101.59 / $4,385.39	Facility		$1,101.59	$1,101.59	$4,385.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $823.40 / $1,203.57 / $2,328.61	Professional		$823.40	$1,203.57	$2,328.61