Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,358.79 / $4,545.00 / $9,868.00	Facility		$1,358.79	$4,545.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.81 / $1,258.14 / $2,138.27	Professional		$977.81	$1,258.14	$2,138.27
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 $884.05 / $1,155.63 / $2,701.96	Professional		$884.05	$1,155.63	$2,701.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,521.22 / $1,990.00 / $8,917.50	Facility		$1,521.22	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,521.22 / $1,521.22 / $1,521.22	Professional		$1,521.22	$1,521.22	$1,521.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,214.91 / $1,214.91 / $1,214.91	Facility		$1,214.91	$1,214.91	$1,214.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $819.97 / $1,457.27 / $3,673.90	Professional		$819.97	$1,457.27	$3,673.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,152.97 / $2,846.81	Facility		$332.00	$1,152.97	$2,846.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,268.27 / $1,498.86 / $3,125.17	Professional		$1,268.27	$1,498.86	$3,125.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $876.92 / $1,008.33 / $1,992.71	Professional		$876.92	$1,008.33	$1,992.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,214.91 / $74,999.25	Facility		$555.00	$1,214.91	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $992.57 / $1,470.18 / $3,673.90	Professional		$992.57	$1,470.18	$3,673.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $13,746.00	Facility		$2,264.00	$5,963.00	$13,746.00
United Facility/Professional Professional Modifier Low / Median / High Price $851.54 / $1,260.41 / $2,884.27	Professional		$851.54	$1,260.41	$2,884.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,283.96 / $1,283.96 / $4,154.78	Facility		$1,283.96	$1,283.96	$4,154.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $876.92 / $1,283.96 / $3,148.61	Professional		$876.92	$1,283.96	$3,148.61