Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,323.78 / $3,832.00 / $10,170.00	Facility		$1,323.78	$3,832.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.21 / $1,194.69 / $2,168.80	Professional		$961.21	$1,194.69	$2,168.80
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 $778.09 / $1,017.12 / $2,484.02	Professional		$778.09	$1,017.12	$2,484.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,481.08 / $1,716.00 / $6,213.00	Facility		$1,481.08	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,481.08 / $1,481.08 / $1,481.08	Professional		$1,481.08	$1,481.08	$1,481.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,189.38 / $1,189.38 / $1,189.38	Facility		$1,189.38	$1,189.38	$1,189.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.30 / $1,633.60 / $4,438.29	Professional		$988.30	$1,633.60	$4,438.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,310.00 / $2,790.83	Facility		$332.00	$1,310.00	$2,790.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,141.88 / $1,619.73 / $2,393.91	Professional		$1,141.88	$1,619.73	$2,393.91
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $980.58 / $980.58 / $980.58	Facility		$980.58	$980.58	$980.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $864.90 / $1,216.09 / $2,208.84	Professional		$864.90	$1,216.09	$2,208.84
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 $1,064.27 / $1,633.60 / $4,258.85	Professional		$1,064.27	$1,633.60	$4,258.85
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 $935.53 / $1,478.35 / $3,316.26	Professional		$935.53	$1,478.35	$3,316.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,216.09 / $1,216.09 / $4,557.74	Facility		$1,216.09	$1,216.09	$4,557.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $881.84 / $1,344.58 / $2,646.87	Professional		$881.84	$1,344.58	$2,646.87