Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,015.64 / $4,452.00 / $10,686.00	Facility		$1,015.64	$4,452.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.70 / $930.53 / $1,786.61	Professional		$741.70	$930.53	$1,786.61
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 / $1,915.27	Professional		$602.39	$787.45	$1,915.27
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 $770.62 / $1,278.83 / $3,446.90	Professional		$770.62	$1,278.83	$3,446.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $945.00 / $2,182.21	Facility		$332.00	$945.00	$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 $666.90 / $949.90 / $1,725.35	Professional		$666.90	$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 $2,264.00 / $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 $726.53 / $1,126.61 / $2,819.52	Professional		$726.53	$1,126.61	$2,819.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $949.90 / $949.90 / $3,558.51	Facility		$949.90	$949.90	$3,558.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $674.47 / $1,051.19 / $2,067.48	Professional		$674.47	$1,051.19	$2,067.48