Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,528.00 / $12,075.00	Facility		$1,819.00	$5,528.00	$12,075.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.89 / $586.94 / $803.45	Professional		$412.89	$586.94	$803.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $9,202.00 / $15,596.00	Facility		$4,977.00	$9,202.00	$15,596.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $705.00 / $1,371.92 / $2,026.70	Professional		$705.00	$1,371.92	$2,026.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $832.90 / $832.90 / $10,957.50	Facility		$832.90	$832.90	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $832.90 / $832.90 / $832.90	Professional		$832.90	$832.90	$832.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.78 / $730.78 / $13,296.25	Facility		$730.78	$730.78	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.00 / $1,006.22 / $2,212.14	Professional		$508.00	$1,006.22	$2,212.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $660.00 / $2,593.10	Facility		$332.00	$660.00	$2,593.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,037.24 / $1,355.05 / $2,027.91	Professional		$1,037.24	$1,355.05	$2,027.91
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $934.52 / $934.52 / $934.52	Facility		$934.52	$934.52	$934.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $745.66 / $1,168.15 / $1,812.97	Professional		$745.66	$1,168.15	$1,812.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $730.78 / $33,837.00	Facility		$597.00	$730.78	$33,837.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $361.66 / $759.58 / $2,157.59	Professional		$361.66	$759.58	$2,157.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $7,719.00 / $18,284.00	Facility		$2,337.00	$7,719.00	$18,284.00
United Facility/Professional Professional Modifier Low / Median / High Price $714.28 / $1,085.34 / $2,483.75	Professional		$714.28	$1,085.34	$2,483.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $934.52 / $1,168.15 / $1,168.15	Facility		$934.52	$1,168.15	$1,168.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $814.67 / $1,310.13 / $2,469.28	Professional		$814.67	$1,310.13	$2,469.28