Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,320.18 / $4,792.00 / $11,396.00	Facility		$1,320.18	$4,792.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,092.59 / $1,414.55 / $2,100.38	Professional		$1,092.59	$1,414.55	$2,100.38
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 $892.21 / $1,166.29 / $2,663.48	Professional		$892.21	$1,166.29	$2,663.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,544.47 / $1,544.47 / $37,499.62	Facility		$1,544.47	$1,544.47	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,544.47 / $1,544.47 / $1,544.47	Professional		$1,544.47	$1,544.47	$1,544.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,243.49 / $1,243.49 / $7,227.90	Facility		$1,243.49	$1,243.49	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $946.69 / $1,897.60 / $4,269.41	Professional		$946.69	$1,897.60	$4,269.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,200.00 / $2,796.37	Facility		$319.00	$1,200.00	$2,796.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,242.83 / $1,484.31 / $2,221.34	Professional		$1,242.83	$1,484.31	$2,221.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $889.67 / $1,236.63 / $1,993.90	Professional		$889.67	$1,236.63	$1,993.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,243.49 / $23,612.00	Facility		$597.00	$1,243.49	$23,612.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,123.99 / $1,851.82 / $3,947.51	Professional		$1,123.99	$1,851.82	$3,947.51
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 $886.14 / $1,332.98 / $3,275.85	Professional		$886.14	$1,332.98	$3,275.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,454.86 / $1,454.86 / $3,629.74	Facility		$1,454.86	$1,454.86	$3,629.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $892.25 / $1,360.64 / $2,307.92	Professional		$892.25	$1,360.64	$2,307.92