Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.74 / $4,910.00 / $11,396.00	Facility		$1,230.74	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $889.55 / $1,309.66 / $3,729.60	Professional		$889.55	$1,309.66	$3,729.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $849.44 / $1,088.41 / $2,713.81	Professional		$849.44	$1,088.41	$2,713.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,438.33 / $1,438.33 / $8,917.50	Facility		$1,438.33	$1,438.33	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,438.33 / $1,438.33 / $1,438.33	Professional		$1,438.33	$1,438.33	$1,438.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,186.91 / $1,186.91 / $7,227.90	Facility		$1,186.91	$1,186.91	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $983.65 / $1,698.49 / $5,259.12	Professional		$983.65	$1,698.49	$5,259.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,457.00 / $2,943.90	Facility		$319.00	$1,457.00	$2,943.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.06 / $1,393.99 / $2,263.53	Professional		$1,258.06	$1,393.99	$2,263.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $692.27 / $1,014.34 / $1,897.15	Professional		$692.27	$1,014.34	$1,897.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,186.91 / $74,999.25	Facility		$597.00	$1,186.91	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $985.29 / $1,814.90 / $4,928.37	Professional		$985.29	$1,814.90	$4,928.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,009.44 / $1,474.07 / $3,281.08	Professional		$1,009.44	$1,474.07	$3,281.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,193.33 / $1,193.33 / $3,410.43	Facility		$1,193.33	$1,193.33	$3,410.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $692.27 / $1,277.84 / $2,385.90	Professional		$692.27	$1,277.84	$2,385.90