Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,354.62 / $4,574.00 / $10,024.00	Facility		$1,354.62	$4,574.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.87 / $1,253.23 / $2,626.00	Professional		$887.87	$1,253.23	$2,626.00
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 $820.16 / $1,072.10 / $2,391.58	Professional		$820.16	$1,072.10	$2,391.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,526.53 / $1,990.00 / $8,917.50	Facility		$1,526.53	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,526.53 / $1,526.53 / $1,526.53	Professional		$1,526.53	$1,526.53	$1,526.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,206.07 / $1,206.07 / $1,685.80	Facility		$1,206.07	$1,206.07	$1,685.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $859.82 / $1,313.30 / $2,965.03	Professional		$859.82	$1,313.30	$2,965.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,160.25 / $2,728.71	Facility		$332.00	$1,160.25	$2,728.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,185.00 / $1,454.96 / $2,259.10	Professional		$1,185.00	$1,454.96	$2,259.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.50 / $1,003.42 / $1,995.90	Professional		$542.50	$1,003.42	$1,995.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,206.07 / $74,999.25	Facility		$555.00	$1,206.07	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $886.82 / $1,351.48 / $2,936.49	Professional		$886.82	$1,351.48	$2,936.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,731.00 / $12,509.00	Facility		$2,264.00	$5,731.00	$12,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $881.74 / $1,169.66 / $2,375.59	Professional		$881.74	$1,169.66	$2,375.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,474.93 / $1,474.93 / $3,037.61	Facility		$1,474.93	$1,474.93	$3,037.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $542.50 / $1,474.93 / $2,742.47	Professional		$542.50	$1,474.93	$2,742.47