Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,007.28 / $5,824.00 / $14,259.00	Facility		$1,007.28	$5,824.00	$14,259.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.52 / $908.72 / $1,573.91	Professional		$692.52	$908.72	$1,573.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,574.00 / $7,506.00 / $14,226.00	Facility		$4,574.00	$7,506.00	$14,226.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.24 / $727.54 / $1,765.65	Professional		$575.24	$727.54	$1,765.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,095.13 / $1,095.13 / $37,499.62	Facility		$1,095.13	$1,095.13	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,095.13 / $1,095.13 / $1,095.13	Professional		$1,095.13	$1,095.13	$1,095.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $885.05 / $885.05 / $7,227.90	Facility		$885.05	$885.05	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.78 / $1,177.66 / $2,879.18	Professional		$662.78	$1,177.66	$2,879.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $863.93 / $2,095.44	Facility		$332.00	$863.93	$2,095.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $838.18 / $1,083.64 / $1,611.17	Professional		$838.18	$1,083.64	$1,611.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $719.94 / $719.94 / $719.94	Facility		$719.94	$719.94	$719.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $609.86 / $920.31 / $1,428.32	Professional		$609.86	$920.31	$1,428.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $885.05 / $28,631.00	Facility		$597.00	$885.05	$28,631.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $786.42 / $1,143.55 / $2,687.47	Professional		$786.42	$1,143.55	$2,687.47
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,300.00	Facility		$996.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $653.08 / $931.21 / $2,173.61	Professional		$653.08	$931.21	$2,173.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $920.31 / $920.31 / $3,037.99	Facility		$920.31	$920.31	$3,037.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $609.86 / $1,032.16 / $1,956.50	Professional		$609.86	$1,032.16	$1,956.50