Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,163.68 / $4,392.00 / $10,686.00	Facility		$1,163.68	$4,392.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,086.89 / $1,307.95 / $2,518.07	Professional		$1,086.89	$1,307.95	$2,518.07
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 $811.63 / $1,060.96 / $2,398.52	Professional		$811.63	$1,060.96	$2,398.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,367.23 / $1,367.23 / $8,917.50	Facility		$1,367.23	$1,367.23	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,367.23 / $1,367.23 / $1,367.23	Professional		$1,367.23	$1,367.23	$1,367.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,118.04 / $1,118.04 / $7,227.90	Facility		$1,118.04	$1,118.04	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $992.31 / $1,717.45 / $3,610.43	Professional		$992.31	$1,717.45	$3,610.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,735.11 / $7,770.84	Facility		$332.00	$1,735.11	$7,770.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,041.07 / $1,388.09 / $2,001.16	Professional		$1,041.07	$1,388.09	$2,001.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $715.92 / $929.70 / $1,659.71	Professional		$715.92	$929.70	$1,659.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,118.04 / $74,999.25	Facility		$555.00	$1,118.04	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,021.87 / $1,654.94 / $3,610.43	Professional		$1,021.87	$1,654.94	$3,610.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,772.00 / $16,315.49	Facility		$2,705.00	$7,772.00	$16,315.49
United Facility/Professional Professional Modifier Low / Median / High Price $982.50 / $1,304.41 / $2,917.29	Professional		$982.50	$1,304.41	$2,917.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,217.34 / $1,217.34 / $3,920.14	Facility		$1,217.34	$1,217.34	$3,920.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $715.92 / $1,217.34 / $2,432.33	Professional		$715.92	$1,217.34	$2,432.33