Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,160.29 / $4,043.00 / $10,296.00	Facility		$1,160.29	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,061.59 / $1,252.39 / $2,359.83	Professional		$1,061.59	$1,252.39	$2,359.83
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 $776.83 / $1,015.47 / $2,379.66	Professional		$776.83	$1,015.47	$2,379.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,311.00 / $1,311.00 / $37,499.62	Facility		$1,311.00	$1,311.00	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,311.00 / $1,311.00 / $1,311.00	Professional		$1,311.00	$1,311.00	$1,311.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.02 / $1,071.02 / $7,227.90	Facility		$1,071.02	$1,071.02	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $973.40 / $1,673.00 / $3,455.45	Professional		$973.40	$1,673.00	$3,455.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,563.06 / $2,966.40	Facility		$319.00	$1,563.06	$2,966.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $994.95 / $1,326.60 / $1,912.52	Professional		$994.95	$1,326.60	$1,912.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $715.61 / $894.95 / $1,508.82	Professional		$715.61	$894.95	$1,508.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,071.02 / $74,999.25	Facility		$555.00	$1,071.02	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $979.21 / $1,667.17 / $3,455.45	Professional		$979.21	$1,667.17	$3,455.45
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 $953.46 / $1,302.65 / $2,849.62	Professional		$953.46	$1,302.65	$2,849.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,165.61 / $1,165.61 / $3,847.75	Facility		$1,165.61	$1,165.61	$3,847.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $715.61 / $1,165.61 / $2,328.94	Professional		$715.61	$1,165.61	$2,328.94