Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.84 / $4,452.00 / $10,686.00	Facility		$1,013.84	$4,452.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.99 / $930.53 / $2,022.14	Professional		$740.99	$930.53	$2,022.14
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 $602.39 / $787.45 / $1,895.78	Professional		$602.39	$787.45	$1,895.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,152.55 / $1,990.00 / $8,917.50	Facility		$1,152.55	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,152.55 / $1,152.55 / $1,152.55	Professional		$1,152.55	$1,152.55	$1,152.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $926.03 / $926.03 / $926.03	Facility		$926.03	$926.03	$926.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $767.94 / $1,277.68 / $3,446.90	Professional		$767.94	$1,277.68	$3,446.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $880.28 / $2,182.21	Facility		$332.00	$880.28	$2,182.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $892.73 / $1,266.72 / $1,871.85	Professional		$892.73	$1,266.72	$1,871.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $766.62 / $766.62 / $766.62	Facility		$766.62	$766.62	$766.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $665.09 / $949.90 / $1,725.35	Professional		$665.09	$949.90	$1,725.35
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 $826.49 / $1,276.61 / $3,240.57	Professional		$826.49	$1,276.61	$3,240.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $7,395.00 / $18,242.15	Facility		$2,337.00	$7,395.00	$18,242.15
United Facility/Professional Professional Modifier Low / Median / High Price $726.53 / $1,130.15 / $2,492.17	Professional		$726.53	$1,130.15	$2,492.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $949.90 / $949.90 / $3,571.20	Facility		$949.90	$949.90	$3,571.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $673.90 / $1,051.19 / $2,067.48	Professional		$673.90	$1,051.19	$2,067.48