Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,324.00 / $10,170.00	Facility		$1,819.00	$5,324.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $940.65 / $1,111.76 / $1,487.13	Professional		$940.65	$1,111.76	$1,487.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,196.00 / $11,909.00	Facility		$3,263.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $859.71 / $1,027.77 / $1,685.72	Professional		$859.71	$1,027.77	$1,685.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,890.00 / $4,106.50 / $12,319.50	Facility		$1,890.00	$4,106.50	$12,319.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,420.75 / $1,420.75 / $1,420.75	Facility		$1,420.75	$1,420.75	$1,420.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $832.80 / $1,657.56 / $4,085.58	Professional		$832.80	$1,657.56	$4,085.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $832.65 / $2,964.05	Facility		$319.00	$832.65	$2,964.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,583.32 / $1,943.64 / $4,000.66	Professional		$1,583.32	$1,943.64	$4,000.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.25 / $1,170.81 / $2,317.56	Professional		$422.25	$1,170.81	$2,317.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,420.75 / $1,420.75	Facility		$597.00	$1,420.75	$1,420.75
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $912.06 / $2,100.00 / $4,085.58	Professional		$912.06	$2,100.00	$4,085.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,248.00 / $11,200.00	Facility		$2,160.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $822.88 / $1,488.54 / $3,126.81	Professional		$822.88	$1,488.54	$3,126.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,346.49 / $1,346.49 / $2,651.24	Facility		$1,346.49	$1,346.49	$2,651.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $422.25 / $1,346.49 / $2,953.99	Professional		$422.25	$1,346.49	$2,953.99