Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,147.46 / $4,043.00 / $10,296.00	Facility		$1,147.46	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.84 / $1,238.40 / $2,314.88	Professional		$942.84	$1,238.40	$2,314.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.00 / $8,134.00 / $16,083.00	Facility		$4,583.00	$8,134.00	$16,083.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $795.50 / $1,039.88 / $2,269.42	Professional		$795.50	$1,039.88	$2,269.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,350.34 / $1,350.34 / $37,499.62	Facility		$1,350.34	$1,350.34	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,350.34 / $1,350.34 / $1,350.34	Professional		$1,350.34	$1,350.34	$1,350.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,091.94 / $1,091.94 / $7,227.90	Facility		$1,091.94	$1,091.94	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.44 / $1,637.11 / $3,495.13	Professional		$952.44	$1,637.11	$3,495.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,720.00 / $6,983.20	Facility		$332.00	$1,720.00	$6,983.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,024.82 / $1,366.43 / $1,969.93	Professional		$1,024.82	$1,366.43	$1,969.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $658.67 / $917.91 / $1,559.09	Professional		$658.67	$917.91	$1,559.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,091.94 / $74,999.25	Facility		$555.00	$1,091.94	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $977.78 / $1,791.02 / $3,528.86	Professional		$977.78	$1,791.02	$3,528.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,864.00 / $40,638.00	Facility		$2,705.00	$7,864.00	$40,638.00
United Facility/Professional Professional Modifier Low / Median / High Price $968.29 / $1,273.93 / $2,983.49	Professional		$968.29	$1,273.93	$2,983.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,202.24 / $1,202.24 / $3,676.55	Facility		$1,202.24	$1,202.24	$3,676.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $658.67 / $1,202.24 / $2,402.13	Professional		$658.67	$1,202.24	$2,402.13