Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,311.97 / $3,970.55 / $10,170.00	Facility		$1,311.97	$3,970.55	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $829.83 / $1,127.23 / $2,372.55	Professional		$829.83	$1,127.23	$2,372.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $855.63 / $1,062.55 / $2,316.15	Professional		$855.63	$1,062.55	$2,316.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,516.38 / $1,716.00 / $6,213.00	Facility		$1,516.38	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,516.38 / $1,516.38 / $1,516.38	Professional		$1,516.38	$1,516.38	$1,516.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,255.83 / $1,255.83 / $1,255.83	Facility		$1,255.83	$1,255.83	$1,255.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $915.11 / $1,553.88 / $5,069.50	Professional		$915.11	$1,553.88	$5,069.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,395.00 / $3,118.41	Facility		$332.00	$1,395.00	$3,118.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,330.49 / $1,746.31 / $2,674.90	Professional		$1,330.49	$1,746.31	$2,674.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,015.93 / $1,015.93 / $1,015.93	Facility		$1,015.93	$1,015.93	$1,015.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.74 / $1,259.67 / $2,287.98	Professional		$812.74	$1,259.67	$2,287.98
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 $1,062.85 / $1,533.92 / $4,294.12	Professional		$1,062.85	$1,533.92	$4,294.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $946.51 / $1,488.52 / $3,686.93	Professional		$946.51	$1,488.52	$3,686.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,259.67 / $1,259.67 / $3,725.69	Facility		$1,259.67	$1,259.67	$3,725.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $812.74 / $1,318.78 / $2,741.70	Professional		$812.74	$1,318.78	$2,741.70