Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.58 / $4,648.00 / $11,396.00	Facility		$1,162.58	$4,648.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.04 / $1,111.24 / $2,518.32	Professional		$887.04	$1,111.24	$2,518.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,279.00 / $11,909.00	Facility		$3,283.00	$5,279.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $801.05 / $1,047.13 / $2,337.61	Professional		$801.05	$1,047.13	$2,337.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,369.24 / $1,369.24 / $37,499.62	Facility		$1,369.24	$1,369.24	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,369.24 / $1,369.24 / $1,369.24	Professional		$1,369.24	$1,369.24	$1,369.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,132.69 / $1,132.69 / $1,132.69	Facility		$1,132.69	$1,132.69	$1,132.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $962.55 / $1,520.02 / $4,438.57	Professional		$962.55	$1,520.02	$4,438.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,681.99 / $3,000.00	Facility		$332.00	$1,681.99	$3,000.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,092.21 / $1,570.15 / $2,405.07	Professional		$1,092.21	$1,570.15	$2,405.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $919.12 / $919.12 / $919.12	Facility		$919.12	$919.12	$919.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $759.80 / $969.47 / $2,071.63	Professional		$759.80	$969.47	$2,071.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $49,110.00	Facility		$555.00	$597.00	$49,110.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $987.31 / $1,502.56 / $4,222.33	Professional		$987.31	$1,502.56	$4,222.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,603.00	Facility		$1,749.00	$4,194.00	$9,603.00
United Facility/Professional Professional Modifier Low / Median / High Price $848.39 / $1,338.37 / $3,156.80	Professional		$848.39	$1,338.37	$3,156.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,140.55 / $1,140.55 / $3,741.13	Facility		$1,140.55	$1,140.55	$3,741.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $798.58 / $1,194.07 / $2,482.44	Professional		$798.58	$1,194.07	$2,482.44