Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,308.49 / $5,390.10 / $11,547.00	Facility		$1,308.49	$5,390.10	$11,547.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,114.53 / $1,295.54 / $2,550.17	Professional		$1,114.53	$1,295.54	$2,550.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,184.00 / $11,809.00	Facility		$3,263.00	$5,184.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $867.36 / $1,133.81 / $2,439.84	Professional		$867.36	$1,133.81	$2,439.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,354.52 / $1,354.52 / $12,319.50	Facility		$1,354.52	$1,354.52	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,354.52 / $1,354.52 / $1,354.52	Professional		$1,354.52	$1,354.52	$1,354.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,108.48 / $1,108.48 / $7,227.90	Facility		$1,108.48	$1,108.48	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,013.29 / $1,715.64 / $3,592.89	Professional		$1,013.29	$1,715.64	$3,592.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,475.00 / $5,988.50	Facility		$332.00	$1,475.00	$5,988.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,031.19 / $1,374.92 / $1,982.18	Professional		$1,031.19	$1,374.92	$1,982.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $713.43 / $971.58 / $1,645.94	Professional		$713.43	$971.58	$1,645.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,108.48 / $74,999.25	Facility		$555.00	$1,108.48	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,034.18 / $1,707.20 / $3,573.99	Professional		$1,034.18	$1,707.20	$3,573.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,176.00	Facility		$2,264.00	$5,248.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $974.73 / $1,321.99 / $3,141.50	Professional		$974.73	$1,321.99	$3,141.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,207.25 / $1,207.25 / $3,871.62	Facility		$1,207.25	$1,207.25	$3,871.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $713.43 / $1,378.57 / $2,412.15	Professional		$713.43	$1,378.57	$2,412.15