Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,259.64 / $4,648.00 / $10,152.00	Facility		$1,259.64	$4,648.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.50 / $1,105.91 / $2,193.40	Professional		$798.50	$1,105.91	$2,193.40
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 $721.49 / $943.13 / $2,163.86	Professional		$721.49	$943.13	$2,163.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,366.39 / $1,990.00 / $8,917.50	Facility		$1,366.39	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,366.39 / $1,366.39 / $1,366.39	Professional		$1,366.39	$1,366.39	$1,366.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,091.99 / $1,091.99 / $1,424.38	Facility		$1,091.99	$1,091.99	$1,424.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.79 / $1,162.99 / $2,687.72	Professional		$762.79	$1,162.99	$2,687.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,021.66 / $2,468.67	Facility		$332.00	$1,021.66	$2,468.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.89 / $1,313.93 / $2,043.32	Professional		$1,071.89	$1,313.93	$2,043.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.25 / $906.16 / $1,805.72	Professional		$475.25	$906.16	$1,805.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,091.99 / $74,999.25	Facility		$555.00	$1,091.99	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $786.50 / $1,206.25 / $2,585.82	Professional		$786.50	$1,206.25	$2,585.82
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 $741.49 / $1,054.71 / $2,144.51	Professional		$741.49	$1,054.71	$2,144.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,334.39 / $1,334.39 / $2,641.23	Facility		$1,334.39	$1,334.39	$2,641.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $475.25 / $1,334.39 / $2,481.15	Professional		$475.25	$1,334.39	$2,481.15