Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.13 / $3,996.00 / $10,296.00	Facility		$1,071.13	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.40 / $1,077.76 / $1,705.28	Professional		$716.40	$1,077.76	$1,705.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,221.66 / $11,909.00	Facility		$3,283.00	$5,221.66	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $723.67 / $945.98 / $2,161.42	Professional		$723.67	$945.98	$2,161.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,252.33 / $1,252.33 / $37,499.62	Facility		$1,252.33	$1,252.33	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,252.33 / $1,252.33 / $1,252.33	Professional		$1,252.33	$1,252.33	$1,252.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,008.34 / $1,008.34 / $7,227.90	Facility		$1,008.34	$1,008.34	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $802.26 / $1,517.20 / $3,463.82	Professional		$802.26	$1,517.20	$3,463.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $932.62 / $2,270.34	Facility		$319.00	$932.62	$2,270.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,009.04 / $1,204.76 / $1,802.99	Professional		$1,009.04	$1,204.76	$1,802.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.11 / $1,080.14 / $1,605.15	Professional		$677.11	$1,080.14	$1,605.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,008.34 / $7,227.90	Facility		$555.00	$1,008.34	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $910.36 / $1,503.47 / $3,196.76	Professional		$910.36	$1,503.47	$3,196.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $777.96 / $1,111.45 / $3,024.92	Professional		$777.96	$1,111.45	$3,024.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,146.53 / $1,146.53 / $3,070.98	Facility		$1,146.53	$1,146.53	$3,070.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $677.11 / $1,146.53 / $1,872.70	Professional		$677.11	$1,146.53	$1,872.70