Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,155.72 / $4,910.00 / $11,396.00	Facility		$1,155.72	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,015.73 / $1,293.53 / $2,302.65	Professional		$1,015.73	$1,293.53	$2,302.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,040.00 / $10,294.00 / $19,351.80	Facility		$5,040.00	$10,294.00	$19,351.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.83 / $1,032.99 / $2,260.69	Professional		$831.83	$1,032.99	$2,260.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,352.83 / $1,352.83 / $1,352.83	Facility		$1,352.83	$1,352.83	$1,352.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,352.83 / $1,352.83 / $1,352.83	Professional		$1,352.83	$1,352.83	$1,352.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,101.59 / $1,101.59 / $7,227.90	Facility		$1,101.59	$1,101.59	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $959.44 / $1,701.40 / $3,483.08	Professional		$959.44	$1,701.40	$3,483.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,697.54 / $7,297.24	Facility		$332.00	$1,697.54	$7,297.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,018.52 / $1,358.03 / $1,957.82	Professional		$1,018.52	$1,358.03	$1,957.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $754.36 / $987.19 / $1,645.52	Professional		$754.36	$987.19	$1,645.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,101.59 / $74,999.25	Facility		$555.00	$1,101.59	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $929.92 / $1,553.21 / $3,372.69	Professional		$929.92	$1,553.21	$3,372.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $4,114.00 / $8,133.00	Facility		$1,479.00	$4,114.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $979.65 / $1,295.74 / $3,169.53	Professional		$979.65	$1,295.74	$3,169.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,206.95 / $1,206.95 / $1,366.22	Facility		$1,206.95	$1,206.95	$1,366.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $754.36 / $1,206.95 / $1,903.75	Professional		$754.36	$1,206.95	$1,903.75