Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.22 / $3,621.00 / $10,965.00	Facility		$1,230.22	$3,621.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.36 / $1,230.22 / $2,141.30	Professional		$942.36	$1,230.22	$2,141.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,975.00 / $11,448.00	Facility		$3,283.00	$4,975.00	$11,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $857.32 / $1,064.65 / $2,409.09	Professional		$857.32	$1,064.65	$2,409.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,499.24 / $1,499.24 / $37,499.62	Facility		$1,499.24	$1,499.24	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,499.24 / $1,499.24 / $1,499.24	Professional		$1,499.24	$1,499.24	$1,499.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,204.00 / $7,227.90	Facility		$1,204.00	$1,204.00	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $888.15 / $1,580.64 / $3,926.31	Professional		$888.15	$1,580.64	$3,926.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,135.29 / $2,850.84	Facility		$332.00	$1,135.29	$2,850.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,140.33 / $1,463.94 / $2,191.98	Professional		$1,140.33	$1,463.94	$2,191.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $980.34 / $980.34 / $980.34	Facility		$980.34	$980.34	$980.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $814.91 / $1,127.39 / $1,948.53	Professional		$814.91	$1,127.39	$1,948.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,204.00 / $41,554.00	Facility		$597.00	$1,204.00	$41,554.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,039.91 / $1,546.43 / $3,654.65	Professional		$1,039.91	$1,546.43	$3,654.65
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 $889.83 / $1,267.04 / $3,179.60	Professional		$889.83	$1,267.04	$3,179.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,255.50 / $1,255.50 / $3,884.94	Facility		$1,255.50	$1,255.50	$3,884.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $814.91 / $1,408.09 / $2,669.08	Professional		$814.91	$1,408.09	$2,669.08