Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,302.34 / $3,996.00 / $9,038.00	Facility		$1,302.34	$3,996.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.23 / $1,173.40 / $2,518.14	Professional		$833.23	$1,173.40	$2,518.14
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 $767.27 / $1,002.98 / $2,220.29	Professional		$767.27	$1,002.98	$2,220.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,382.04 / $1,716.00 / $6,213.00	Facility		$1,382.04	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,382.04 / $1,382.04 / $1,382.04	Professional		$1,382.04	$1,382.04	$1,382.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,093.85 / $1,093.85 / $1,685.80	Facility		$1,093.85	$1,093.85	$1,685.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.07 / $1,187.45 / $2,754.82	Professional		$796.07	$1,187.45	$2,754.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,026.42 / $2,480.40	Facility		$332.00	$1,026.42	$2,480.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,076.96 / $1,320.36 / $2,052.84	Professional		$1,076.96	$1,320.36	$2,052.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.79 / $910.59 / $1,809.16	Professional		$498.79	$910.59	$1,809.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,093.85 / $74,999.25	Facility		$555.00	$1,093.85	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $804.83 / $1,246.82 / $2,754.82	Professional		$804.83	$1,246.82	$2,754.82
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 $806.38 / $1,102.50 / $2,190.71	Professional		$806.38	$1,102.50	$2,190.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,336.94 / $1,336.94 / $2,680.37	Facility		$1,336.94	$1,336.94	$2,680.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $498.79 / $1,336.94 / $2,485.88	Professional		$498.79	$1,336.94	$2,485.88