Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.49 / $4,905.00 / $11,880.00	Facility		$1,162.49	$4,905.00	$11,880.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.49 / $1,049.38 / $1,778.02	Professional		$866.49	$1,049.38	$1,778.02
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 $712.98 / $885.40 / $2,107.34	Professional		$712.98	$885.40	$2,107.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,275.82 / $2,644.00 / $12,319.50	Facility		$1,275.82	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,275.82 / $1,275.82 / $1,275.82	Professional		$1,275.82	$1,275.82	$1,275.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,018.50 / $1,018.50 / $7,289.38	Facility		$1,018.50	$1,018.50	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $704.81 / $1,378.77 / $3,204.67	Professional		$704.81	$1,378.77	$3,204.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $921.00 / $2,367.17	Facility		$332.00	$921.00	$2,367.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $946.87 / $1,233.38 / $1,838.03	Professional		$946.87	$1,233.38	$1,838.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $847.02 / $847.02 / $1,192.63	Facility		$847.02	$847.02	$1,192.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $745.76 / $1,039.92 / $1,684.01	Professional		$745.76	$1,039.92	$1,684.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,018.50 / $16,269.00	Facility		$597.00	$1,018.50	$16,269.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $882.04 / $1,318.84 / $3,033.11	Professional		$882.04	$1,318.84	$3,033.11
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 $747.65 / $1,063.48 / $2,572.83	Professional		$747.65	$1,063.48	$2,572.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,085.06 / $1,085.06 / $3,948.87	Facility		$1,085.06	$1,085.06	$3,948.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $810.96 / $1,216.94 / $2,306.75	Professional		$810.96	$1,216.94	$2,306.75