Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,229.88 / $3,951.00 / $10,170.00	Facility		$1,229.88	$3,951.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.90 / $1,096.21 / $2,105.16	Professional		$876.90	$1,096.21	$2,105.16
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 $711.50 / $930.07 / $2,182.54	Professional		$711.50	$930.07	$2,182.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,357.28 / $1,716.00 / $6,213.00	Facility		$1,357.28	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,357.28 / $1,357.28 / $1,357.28	Professional		$1,357.28	$1,357.28	$1,357.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,090.33 / $1,090.33 / $1,090.33	Facility		$1,090.33	$1,090.33	$1,090.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.97 / $1,453.98 / $4,069.37	Professional		$868.97	$1,453.98	$4,069.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,036.14 / $2,569.69	Facility		$332.00	$1,036.14	$2,569.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,050.84 / $1,491.43 / $2,204.23	Professional		$1,050.84	$1,491.43	$2,204.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $902.40 / $902.40 / $902.40	Facility		$902.40	$902.40	$902.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $751.68 / $1,117.32 / $2,029.44	Professional		$751.68	$1,117.32	$2,029.44
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 $971.41 / $1,460.45 / $3,813.23	Professional		$971.41	$1,460.45	$3,813.23
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 $855.11 / $1,284.43 / $3,001.10	Professional		$855.11	$1,284.43	$3,001.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,117.32 / $1,117.32 / $4,009.23	Facility		$1,117.32	$1,117.32	$4,009.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $751.68 / $1,237.36 / $2,431.89	Professional		$751.68	$1,237.36	$2,431.89