Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,480.79 / $4,574.00 / $10,024.00	Facility		$1,480.79	$4,574.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $976.48 / $1,329.46 / $2,722.51	Professional		$976.48	$1,329.46	$2,722.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,217.00 / $5,196.00 / $11,909.00	Facility		$3,217.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $884.48 / $1,156.19 / $2,664.15	Professional		$884.48	$1,156.19	$2,664.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,696.00 / $1,990.00 / $8,917.50	Facility		$1,696.00	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,696.00 / $1,696.00 / $1,696.00	Professional		$1,696.00	$1,696.00	$1,696.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,359.30 / $1,359.30 / $2,203.26	Facility		$1,359.30	$1,359.30	$2,203.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $927.97 / $1,448.89 / $3,346.27	Professional		$927.97	$1,448.89	$3,346.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,270.74 / $3,070.53	Facility		$332.00	$1,270.74	$3,070.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,333.20 / $1,634.30 / $2,541.48	Professional		$1,333.20	$1,634.30	$2,541.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $580.21 / $1,127.09 / $2,247.53	Professional		$580.21	$1,127.09	$2,247.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,359.30 / $74,999.25	Facility		$555.00	$1,359.30	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $979.65 / $1,488.41 / $3,168.36	Professional		$979.65	$1,488.41	$3,168.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,063.00 / $5,191.00 / $11,098.00	Facility		$2,063.00	$5,191.00	$11,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $925.46 / $1,315.66 / $2,861.55	Professional		$925.46	$1,315.66	$2,861.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,660.88 / $1,660.88 / $3,268.43	Facility		$1,660.88	$1,660.88	$3,268.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $580.21 / $1,660.88 / $3,088.22	Professional		$580.21	$1,660.88	$3,088.22