Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,171.50 / $5,157.00 / $11,396.00	Facility		$1,171.50	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.61 / $933.69 / $1,742.22	Professional		$810.61	$933.69	$1,742.22
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 $730.99 / $955.55 / $2,194.19	Professional		$730.99	$955.55	$2,194.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,264.26 / $1,264.26 / $16,534.50	Facility		$1,264.26	$1,264.26	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,264.26 / $1,264.26 / $1,264.26	Professional		$1,264.26	$1,264.26	$1,264.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,018.12 / $1,018.12 / $1,018.12	Facility		$1,018.12	$1,018.12	$1,018.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $893.23 / $1,339.95 / $3,377.64	Professional		$893.23	$1,339.95	$3,377.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,500.00 / $2,400.01	Facility		$332.00	$1,500.00	$2,400.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $981.45 / $1,393.24 / $2,058.67	Professional		$981.45	$1,393.24	$2,058.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $842.81 / $842.81 / $842.81	Facility		$842.81	$842.81	$842.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $730.93 / $1,074.90 / $1,896.15	Professional		$730.93	$1,074.90	$1,896.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,018.12	Facility		$555.00	$597.00	$1,018.12
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $925.64 / $1,341.29 / $3,124.41	Professional		$925.64	$1,341.29	$3,124.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $800.44 / $1,122.04 / $2,748.96	Professional		$800.44	$1,122.04	$2,748.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,074.90 / $1,074.90 / $4,023.42	Facility		$1,074.90	$1,074.90	$4,023.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $750.23 / $1,174.54 / $2,272.17	Professional		$750.23	$1,174.54	$2,272.17