Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.80 / $3,951.00 / $10,686.00	Facility		$1,159.80	$3,951.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $900.06 / $1,043.63 / $2,503.55	Professional		$900.06	$1,043.63	$2,503.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $828.92 / $1,082.89 / $2,340.00	Professional		$828.92	$1,082.89	$2,340.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,415.85 / $1,415.85 / $8,917.50	Facility		$1,415.85	$1,415.85	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,415.85 / $1,415.85 / $1,415.85	Professional		$1,415.85	$1,415.85	$1,415.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,137.59 / $1,137.59 / $1,137.59	Facility		$1,137.59	$1,137.59	$1,137.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.90 / $1,491.89 / $3,785.02	Professional		$975.90	$1,491.89	$3,785.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,274.00 / $2,678.06	Facility		$332.00	$1,274.00	$2,678.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,095.44 / $1,554.35 / $2,297.17	Professional		$1,095.44	$1,554.35	$2,297.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $940.69 / $940.69 / $940.69	Facility		$940.69	$940.69	$940.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.22 / $1,199.53 / $2,116.00	Professional		$776.22	$1,199.53	$2,116.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,137.59	Facility		$555.00	$597.00	$1,137.59
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,018.18 / $1,491.89 / $3,493.38	Professional		$1,018.18	$1,491.89	$3,493.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $895.02 / $1,306.36 / $3,119.61	Professional		$895.02	$1,306.36	$3,119.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,199.53 / $1,199.53 / $4,008.81	Facility		$1,199.53	$1,199.53	$4,008.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $815.68 / $1,310.94 / $2,535.61	Professional		$815.68	$1,310.94	$2,535.61