Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,134.18 / $4,392.00 / $10,024.00	Facility		$1,134.18	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.69 / $983.42 / $2,119.96	Professional		$813.69	$983.42	$2,119.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $783.04 / $997.96 / $2,010.08	Professional		$783.04	$997.96	$2,010.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,320.65 / $1,990.00 / $8,917.50	Facility		$1,320.65	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,320.65 / $1,320.65 / $1,320.65	Professional		$1,320.65	$1,320.65	$1,320.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,094.21 / $1,094.21 / $1,094.21	Facility		$1,094.21	$1,094.21	$1,094.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.17 / $1,435.42 / $3,929.04	Professional		$840.17	$1,435.42	$3,929.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $160.00 / $332.00 / $2,716.34	Facility		$160.00	$332.00	$2,716.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,032.70 / $1,489.86 / $2,330.01	Professional		$1,032.70	$1,489.86	$2,330.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $886.82 / $886.82 / $886.82	Facility		$886.82	$886.82	$886.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.05 / $1,099.81 / $1,997.63	Professional		$647.05	$1,099.81	$1,997.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $37,776.00	Facility		$555.00	$597.00	$37,776.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $833.21 / $1,451.10 / $3,778.42	Professional		$833.21	$1,451.10	$3,778.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $823.44 / $1,307.61 / $3,017.26	Professional		$823.44	$1,307.61	$3,017.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,099.81 / $1,099.81 / $3,314.65	Facility		$1,099.81	$1,099.81	$3,314.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $654.54 / $1,216.01 / $2,393.77	Professional		$654.54	$1,216.01	$2,393.77