Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,322.06 / $3,996.00 / $12,373.92	Facility		$1,322.06	$3,996.00	$12,373.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $967.34 / $1,200.49 / $2,747.74	Professional		$967.34	$1,200.49	$2,747.74
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 $782.44 / $1,022.81 / $2,444.64	Professional		$782.44	$1,022.81	$2,444.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,488.41 / $1,716.00 / $6,213.00	Facility		$1,488.41	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,488.41 / $1,488.41 / $1,488.41	Professional		$1,488.41	$1,488.41	$1,488.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,191.76 / $1,191.76 / $1,191.76	Facility		$1,191.76	$1,191.76	$1,191.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $990.08 / $1,662.99 / $4,431.68	Professional		$990.08	$1,662.99	$4,431.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,122.43 / $2,781.70	Facility		$332.00	$1,122.43	$2,781.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,140.39 / $1,615.03 / $2,386.08	Professional		$1,140.39	$1,615.03	$2,386.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $979.30 / $979.30 / $979.30	Facility		$979.30	$979.30	$979.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $853.69 / $1,219.26 / $2,214.59	Professional		$853.69	$1,219.26	$2,214.59
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 $1,069.55 / $1,632.86 / $4,231.95	Professional		$1,069.55	$1,632.86	$4,231.95
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 $940.19 / $1,460.08 / $3,240.23	Professional		$940.19	$1,460.08	$3,240.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,219.26 / $1,219.26 / $4,626.68	Facility		$1,219.26	$1,219.26	$4,626.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $882.88 / $1,342.81 / $2,653.76	Professional		$882.88	$1,342.81	$2,653.76