Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,294.33 / $5,224.00 / $11,396.00	Facility		$1,294.33	$5,224.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.70 / $1,139.22 / $2,536.42	Professional		$814.70	$1,139.22	$2,536.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $748.47 / $978.40 / $2,188.77	Professional		$748.47	$978.40	$2,188.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,388.41 / $2,644.00 / $12,319.50	Facility		$1,388.41	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,388.41 / $1,388.41 / $1,388.41	Professional		$1,388.41	$1,388.41	$1,388.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,098.33 / $1,098.33 / $1,685.80	Facility		$1,098.33	$1,098.33	$1,685.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $785.06 / $1,199.06 / $2,702.18	Professional		$785.06	$1,199.06	$2,702.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,028.74 / $2,485.85	Facility		$332.00	$1,028.74	$2,485.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,079.35 / $1,323.66 / $2,057.48	Professional		$1,079.35	$1,323.66	$2,057.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.17 / $912.87 / $1,816.70	Professional		$498.17	$912.87	$1,816.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,098.33 / $74,999.25	Facility		$555.00	$1,098.33	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $785.06 / $1,237.76 / $2,683.82	Professional		$785.06	$1,237.76	$2,683.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,652.00 / $4,370.00 / $9,187.00	Facility		$1,652.00	$4,370.00	$9,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $797.80 / $1,094.58 / $2,218.81	Professional		$797.80	$1,094.58	$2,218.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,342.51 / $1,342.51 / $2,794.08	Facility		$1,342.51	$1,342.51	$2,794.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $498.17 / $1,342.51 / $2,496.23	Professional		$498.17	$1,342.51	$2,496.23