Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.20 / $4,043.00 / $10,686.00	Facility		$1,105.20	$4,043.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,013.01 / $1,209.00 / $2,319.98	Professional		$1,013.01	$1,209.00	$2,319.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,538.00	Facility		$4,100.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $751.65 / $982.56 / $2,253.09	Professional		$751.65	$982.56	$2,253.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,265.82 / $1,265.82 / $37,499.62	Facility		$1,265.82	$1,265.82	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,265.82 / $1,265.82 / $1,265.82	Professional		$1,265.82	$1,265.82	$1,265.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,034.14 / $1,034.14 / $7,227.90	Facility		$1,034.14	$1,034.14	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $940.47 / $1,554.68 / $3,340.77	Professional		$940.47	$1,554.68	$3,340.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,058.00 / $5,306.22	Facility		$332.00	$1,058.00	$5,306.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $960.89 / $1,281.18 / $1,847.03	Professional		$960.89	$1,281.18	$1,847.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $641.72 / $896.86 / $1,533.75	Professional		$641.72	$896.86	$1,533.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $7,227.90 / $74,999.25	Facility		$555.00	$7,227.90	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $945.67 / $1,554.68 / $3,340.77	Professional		$945.67	$1,554.68	$3,340.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $783.43 / $1,152.85 / $2,623.95	Professional		$783.43	$1,152.85	$2,623.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,124.96 / $1,124.96 / $2,995.55	Facility		$1,124.96	$1,124.96	$2,995.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $641.72 / $1,284.00 / $2,247.73	Professional		$641.72	$1,284.00	$2,247.73