Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,344.80 / $4,452.00 / $10,686.00	Facility		$1,344.80	$4,452.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $923.80 / $1,149.10 / $2,052.27	Professional		$923.80	$1,149.10	$2,052.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,264.00 / $12,538.00	Facility		$4,046.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $740.70 / $968.24 / $2,452.23	Professional		$740.70	$968.24	$2,452.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,417.91 / $1,990.00 / $8,917.50	Facility		$1,417.91	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,417.91 / $1,417.91 / $1,417.91	Professional		$1,417.91	$1,417.91	$1,417.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,145.56 / $1,145.56 / $1,145.56	Facility		$1,145.56	$1,145.56	$1,145.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $972.65 / $1,623.12 / $4,429.64	Professional		$972.65	$1,623.12	$4,429.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $900.00 / $2,711.32	Facility		$332.00	$900.00	$2,711.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,084.79 / $1,562.68 / $2,325.71	Professional		$1,084.79	$1,562.68	$2,325.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $931.55 / $931.55 / $931.55	Facility		$931.55	$931.55	$931.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $835.69 / $983.38 / $2,101.36	Professional		$835.69	$983.38	$2,101.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $36,596.00	Facility		$555.00	$597.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,049.10 / $1,623.25 / $4,286.97	Professional		$1,049.10	$1,623.25	$4,286.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $15,611.00	Facility		$2,264.00	$5,963.00	$15,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $884.97 / $1,327.25 / $3,077.55	Professional		$884.97	$1,327.25	$3,077.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,156.92 / $1,156.92 / $3,429.15	Facility		$1,156.92	$1,156.92	$3,429.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $906.68 / $1,277.33 / $2,518.08	Professional		$906.68	$1,277.33	$2,518.08