Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,367.61 / $3,621.00 / $10,965.00	Facility		$1,367.61	$3,621.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,032.55 / $1,354.42 / $2,335.17	Professional		$1,032.55	$1,354.42	$2,335.17
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 $940.61 / $1,161.21 / $2,636.26	Professional		$940.61	$1,161.21	$2,636.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,635.73 / $1,635.73 / $37,499.62	Facility		$1,635.73	$1,635.73	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,635.73 / $1,635.73 / $1,635.73	Professional		$1,635.73	$1,635.73	$1,635.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,313.52 / $1,313.52 / $7,227.90	Facility		$1,313.52	$1,313.52	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $958.79 / $1,715.53 / $4,277.05	Professional		$958.79	$1,715.53	$4,277.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,146.00 / $3,108.96	Facility		$332.00	$1,146.00	$3,108.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,243.58 / $1,596.28 / $2,390.44	Professional		$1,243.58	$1,596.28	$2,390.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,068.85 / $1,068.85 / $1,068.85	Facility		$1,068.85	$1,068.85	$1,068.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $878.54 / $1,367.88 / $2,122.94	Professional		$878.54	$1,367.88	$2,122.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,313.52 / $41,554.00	Facility		$597.00	$1,313.52	$41,554.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,104.33 / $1,664.70 / $3,990.69	Professional		$1,104.33	$1,664.70	$3,990.69
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,202.00	Facility		$996.00	$4,194.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $974.85 / $1,396.09 / $3,196.82	Professional		$974.85	$1,396.09	$3,196.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,367.88 / $1,367.88 / $3,945.74	Facility		$1,367.88	$1,367.88	$3,945.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $878.54 / $1,534.13 / $2,907.99	Professional		$878.54	$1,534.13	$2,907.99