Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,442.37 / $4,043.00 / $10,686.00	Facility		$1,442.37	$4,043.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.20 / $1,331.30 / $2,849.17	Professional		$908.20	$1,331.30	$2,849.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $928.57 / $1,177.41 / $2,573.71	Professional		$928.57	$1,177.41	$2,573.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,621.64 / $3,478.50 / $13,477.50	Facility		$1,621.64	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,621.64 / $1,621.64 / $1,621.64	Professional		$1,621.64	$1,621.64	$1,621.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.88 / $1,282.81 / $14,648.00	Facility		$408.88	$1,282.81	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $926.04 / $1,396.95 / $3,238.36	Professional		$926.04	$1,396.95	$3,238.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,199.29 / $2,894.20	Facility		$332.00	$1,199.29	$2,894.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,257.52 / $1,543.57 / $2,398.58	Professional		$1,257.52	$1,543.57	$2,398.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.75 / $1,068.42 / $2,117.85	Professional		$576.75	$1,068.42	$2,117.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $408.88 / $597.00 / $74,999.25	Facility		$408.88	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $945.04 / $1,437.08 / $3,238.36	Professional		$945.04	$1,437.08	$3,238.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,146.00 / $5,253.00	Facility		$1,348.00	$3,146.00	$5,253.00
United Facility/Professional Professional Modifier Low / Median / High Price $927.24 / $1,292.19 / $2,607.71	Professional		$927.24	$1,292.19	$2,607.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,565.05 / $1,565.05 / $3,237.88	Facility		$1,565.05	$1,565.05	$3,237.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $576.75 / $1,565.05 / $2,910.03	Professional		$576.75	$1,565.05	$2,910.03