Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,253.14 / $5,411.00 / $10,686.00	Facility		$1,253.14	$5,411.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.14 / $414.52 / $1,253.14	Professional		$280.14	$414.52	$1,253.14
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 $530.94 / $4,452.30 / $6,702.77	Professional		$530.94	$4,452.30	$6,702.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $489.07 / $489.07 / $37,499.62	Facility		$489.07	$489.07	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $489.07 / $489.07 / $489.07	Professional		$489.07	$489.07	$489.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.28 / $413.28 / $7,227.90	Facility		$413.28	$413.28	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.51 / $635.76 / $1,332.13	Professional		$300.51	$635.76	$1,332.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $448.80 / $1,592.28	Facility		$332.00	$448.80	$1,592.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $476.42 / $660.37 / $1,618.82	Professional		$476.42	$660.37	$1,618.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $884.60 / $884.60 / $884.60	Facility		$884.60	$884.60	$884.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $751.91 / $1,256.13 / $1,855.76	Professional		$751.91	$1,256.13	$1,855.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $413.28 / $555.00 / $7,227.90	Facility		$413.28	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $306.93 / $664.04 / $1,425.00	Professional		$306.93	$664.04	$1,425.00
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,020.04	Facility		$996.00	$4,194.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $283.31 / $524.69 / $1,376.35	Professional		$283.31	$524.69	$1,376.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,105.75 / $1,105.75 / $1,992.61	Facility		$1,105.75	$1,105.75	$1,992.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $884.60 / $1,397.67 / $2,350.73	Professional		$884.60	$1,397.67	$2,350.73