Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,273.60 / $3,951.00 / $10,170.00	Facility		$1,273.60	$3,951.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $929.28 / $1,150.28 / $2,583.39	Professional		$929.28	$1,150.28	$2,583.39
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 $759.40 / $978.62 / $2,357.04	Professional		$759.40	$978.62	$2,357.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,422.98 / $1,716.00 / $6,213.00	Facility		$1,422.98	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,422.98 / $1,422.98 / $1,422.98	Professional		$1,422.98	$1,422.98	$1,422.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,140.13 / $1,140.13 / $1,140.13	Facility		$1,140.13	$1,140.13	$1,140.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.61 / $1,585.27 / $4,250.55	Professional		$953.61	$1,585.27	$4,250.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,084.82 / $2,701.08	Facility		$332.00	$1,084.82	$2,701.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,097.35 / $1,565.38 / $2,316.92	Professional		$1,097.35	$1,565.38	$2,316.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $942.34 / $942.34 / $942.34	Facility		$942.34	$942.34	$942.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $816.19 / $1,165.70 / $2,117.31	Professional		$816.19	$1,165.70	$2,117.31
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 $1,026.07 / $1,572.67 / $4,050.55	Professional		$1,026.07	$1,572.67	$4,050.55
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 $902.32 / $1,356.03 / $3,397.63	Professional		$902.32	$1,356.03	$3,397.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,165.70 / $1,165.70 / $4,409.89	Facility		$1,165.70	$1,165.70	$4,409.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $844.13 / $1,292.14 / $2,537.19	Professional		$844.13	$1,292.14	$2,537.19