Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.90 / $4,827.00 / $11,691.00	Facility		$1,170.90	$4,827.00	$11,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $868.61 / $1,030.58 / $1,887.13	Professional		$868.61	$1,030.58	$1,887.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,085.00 / $8,281.00	Facility		$2,373.00	$4,085.00	$8,281.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $808.36 / $993.28 / $2,153.91	Professional		$808.36	$993.28	$2,153.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,375.98 / $2,644.00 / $12,319.50	Facility		$1,375.98	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,375.98 / $1,375.98 / $1,375.98	Professional		$1,375.98	$1,375.98	$1,375.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,084.92 / $1,084.92 / $7,289.38	Facility		$1,084.92	$1,084.92	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.64 / $1,458.80 / $3,349.73	Professional		$752.64	$1,458.80	$3,349.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,029.05 / $2,539.08	Facility		$332.00	$1,029.05	$2,539.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,015.63 / $1,312.48 / $1,952.27	Professional		$1,015.63	$1,312.48	$1,952.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $899.63 / $899.63 / $1,192.63	Facility		$899.63	$899.63	$1,192.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $764.18 / $1,149.30 / $1,783.72	Professional		$764.18	$1,149.30	$1,783.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,084.92 / $16,269.00	Facility		$597.00	$1,084.92	$16,269.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $924.23 / $1,427.41 / $3,237.22	Professional		$924.23	$1,427.41	$3,237.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,547.00 / $13,746.00	Facility		$2,160.00	$5,547.00	$13,746.00
United Facility/Professional Professional Modifier Low / Median / High Price $802.15 / $1,122.32 / $2,828.41	Professional		$802.15	$1,122.32	$2,828.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,149.30 / $1,149.30 / $3,852.72	Facility		$1,149.30	$1,149.30	$3,852.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $764.18 / $1,288.99 / $2,443.32	Professional		$764.18	$1,288.99	$2,443.32