Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,168.51 / $3,996.00 / $10,296.00	Facility		$1,168.51	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.26 / $1,168.51 / $1,876.39	Professional		$836.26	$1,168.51	$1,876.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,697.00	Facility		$4,100.00	$7,264.00	$12,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $749.84 / $980.19 / $2,366.92	Professional		$749.84	$980.19	$2,366.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,349.83 / $1,349.83 / $37,499.62	Facility		$1,349.83	$1,349.83	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,349.83 / $1,349.83 / $1,349.83	Professional		$1,349.83	$1,349.83	$1,349.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.39 / $1,096.39 / $7,227.90	Facility		$1,096.39	$1,096.39	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $921.95 / $1,600.83 / $3,410.78	Professional		$921.95	$1,600.83	$3,410.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,598.00 / $2,556.80	Facility		$319.00	$1,598.00	$2,556.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,110.29 / $1,294.10 / $1,936.70	Professional		$1,110.29	$1,294.10	$1,936.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $781.70 / $932.59 / $1,756.52	Professional		$781.70	$932.59	$1,756.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,096.39 / $7,227.90	Facility		$555.00	$1,096.39	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $921.95 / $1,585.52 / $3,410.78	Professional		$921.95	$1,585.52	$3,410.78
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 $937.11 / $1,345.56 / $2,960.32	Professional		$937.11	$1,345.56	$2,960.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,097.16 / $1,097.16 / $2,829.82	Facility		$1,097.16	$1,097.16	$2,829.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $828.01 / $1,160.24 / $2,027.84	Professional		$828.01	$1,160.24	$2,027.84