Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,132.58 / $4,910.00 / $11,396.00	Facility		$1,132.58	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.38 / $1,117.39 / $3,602.12	Professional		$924.38	$1,117.39	$3,602.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,109.00 / $8,410.00	Facility		$2,393.00	$4,109.00	$8,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $820.18 / $1,065.51 / $2,354.06	Professional		$820.18	$1,065.51	$2,354.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,381.02 / $1,381.02 / $37,499.62	Facility		$1,381.02	$1,381.02	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,381.02 / $1,381.02 / $1,381.02	Professional		$1,381.02	$1,381.02	$1,381.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,139.66 / $1,139.66 / $7,227.90	Facility		$1,139.66	$1,139.66	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $965.79 / $1,583.90 / $5,007.68	Professional		$965.79	$1,583.90	$5,007.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,097.14 / $2,825.89	Facility		$319.00	$1,097.14	$2,825.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,206.84 / $1,336.81 / $2,172.79	Professional		$1,206.84	$1,336.81	$2,172.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $769.33 / $1,144.83 / $1,820.04	Professional		$769.33	$1,144.83	$1,820.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,139.66 / $74,999.25	Facility		$597.00	$1,139.66	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $979.89 / $1,650.90 / $4,910.05	Professional		$979.89	$1,650.90	$4,910.05
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 $978.54 / $1,453.01 / $3,158.68	Professional		$978.54	$1,453.01	$3,158.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,144.83 / $1,144.83 / $3,952.06	Facility		$1,144.83	$1,144.83	$3,952.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $769.33 / $1,225.91 / $2,348.13	Professional		$769.33	$1,225.91	$2,348.13