Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,191.78 / $4,574.00 / $10,024.00	Facility		$1,191.78	$4,574.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.62 / $1,063.81 / $2,370.81	Professional		$745.62	$1,063.81	$2,370.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,217.00 / $5,196.00 / $11,909.00	Facility		$3,217.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.62 / $858.33 / $2,046.82	Professional		$656.62	$858.33	$2,046.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,333.93 / $1,990.00 / $8,917.50	Facility		$1,333.93	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,333.93 / $1,333.93 / $1,333.93	Professional		$1,333.93	$1,333.93	$1,333.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,075.96 / $1,075.96 / $2,203.26	Facility		$1,075.96	$1,075.96	$2,203.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.74 / $1,150.43 / $2,602.89	Professional		$722.74	$1,150.43	$2,602.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,006.00 / $2,435.60	Facility		$332.00	$1,006.00	$2,435.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,056.48 / $1,286.79 / $2,012.00	Professional		$1,056.48	$1,286.79	$2,012.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.61 / $887.44 / $1,775.17	Professional		$449.61	$887.44	$1,775.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,075.96 / $74,999.25	Facility		$555.00	$1,075.96	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $771.64 / $1,160.92 / $2,429.90	Professional		$771.64	$1,160.92	$2,429.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,299.00 / $4,893.00 / $10,046.00	Facility		$2,299.00	$4,893.00	$10,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $744.81 / $1,003.43 / $2,245.83	Professional		$744.81	$1,003.43	$2,245.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,311.81 / $1,311.81 / $2,513.85	Facility		$1,311.81	$1,311.81	$2,513.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $449.61 / $1,311.81 / $2,369.46	Professional		$449.61	$1,311.81	$2,369.46