Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,135.10 / $4,910.00 / $11,996.00	Facility		$1,135.10	$4,910.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.81 / $989.73 / $2,291.85	Professional		$814.81	$989.73	$2,291.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $6,992.00 / $12,173.00	Facility		$4,070.00	$6,992.00	$12,173.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $775.44 / $962.97 / $2,070.06	Professional		$775.44	$962.97	$2,070.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,322.95 / $2,644.00 / $12,319.50	Facility		$1,322.95	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,322.95 / $1,322.95 / $1,322.95	Professional		$1,322.95	$1,322.95	$1,322.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,043.05 / $1,043.05 / $7,289.38	Facility		$1,043.05	$1,043.05	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $723.18 / $1,383.55 / $3,278.24	Professional		$723.18	$1,383.55	$3,278.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,008.00 / $2,444.81	Facility		$332.00	$1,008.00	$2,444.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $977.92 / $1,263.70 / $1,879.78	Professional		$977.92	$1,263.70	$1,879.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $865.27 / $865.27 / $1,192.63	Facility		$865.27	$865.27	$1,192.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $744.78 / $1,228.68 / $1,715.05	Professional		$744.78	$1,228.68	$1,715.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,043.05 / $16,269.00	Facility		$597.00	$1,043.05	$16,269.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $888.77 / $1,357.61 / $3,150.03	Professional		$888.77	$1,357.61	$3,150.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,092.00 / $5,547.00 / $13,746.00	Facility		$2,092.00	$5,547.00	$13,746.00
United Facility/Professional Professional Modifier Low / Median / High Price $772.36 / $1,086.58 / $2,493.96	Professional		$772.36	$1,086.58	$2,493.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,105.06 / $1,105.06 / $3,628.85	Facility		$1,105.06	$1,105.06	$3,628.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $744.78 / $1,239.36 / $2,349.27	Professional		$744.78	$1,239.36	$2,349.27