Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,108.46 / $4,392.00 / $10,686.00	Facility		$1,108.46	$4,392.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.81 / $1,182.05 / $2,140.07	Professional		$1,016.81	$1,182.05	$2,140.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,264.00 / $12,538.00	Facility		$4,079.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $732.41 / $957.41 / $2,148.44	Professional		$732.41	$957.41	$2,148.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,235.01 / $5,064.50 / $15,193.50	Facility		$1,235.01	$5,064.50	$15,193.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,235.01 / $1,235.01 / $1,235.01	Professional		$1,235.01	$1,235.01	$1,235.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,011.20 / $1,011.20 / $7,227.90	Facility		$1,011.20	$1,011.20	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.95 / $1,551.03 / $3,245.85	Professional		$895.95	$1,551.03	$3,245.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,100.00 / $5,207.37	Facility		$332.00	$1,100.00	$5,207.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $942.98 / $1,257.31 / $1,812.62	Professional		$942.98	$1,257.31	$1,812.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.97 / $842.93 / $1,430.84	Professional		$655.97	$842.93	$1,430.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,011.20 / $74,999.25	Facility		$555.00	$1,011.20	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $923.61 / $1,493.38 / $3,245.85	Professional		$923.61	$1,493.38	$3,245.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $6,700.00 / $16,403.00	Facility		$2,444.00	$6,700.00	$16,403.00
United Facility/Professional Professional Modifier Low / Median / High Price $887.44 / $1,183.94 / $2,789.65	Professional		$887.44	$1,183.94	$2,789.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,104.03 / $1,104.03 / $3,652.01	Facility		$1,104.03	$1,104.03	$3,652.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $655.97 / $1,261.15 / $2,205.91	Professional		$655.97	$1,261.15	$2,205.91