Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,242.00 / $3,756.00 / $8,907.44	Facility		$1,242.00	$3,756.00	$8,907.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $936.66 / $1,124.25 / $2,646.05	Professional		$936.66	$1,124.25	$2,646.05
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 $820.46 / $1,072.50 / $2,477.02	Professional		$820.46	$1,072.50	$2,477.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,413.95 / $2,390.00 / $10,957.50	Facility		$1,413.95	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,413.95 / $1,413.95 / $1,413.95	Professional		$1,413.95	$1,413.95	$1,413.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,140.59 / $1,140.59 / $1,140.59	Facility		$1,140.59	$1,140.59	$1,140.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.96 / $112.96 / $112.96	Facility	AS	$112.96	$112.96	$112.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,002.40 / $1,613.71 / $3,721.27	Professional		$1,002.40	$1,613.71	$3,721.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,059.00 / $2,653.43	Facility		$332.00	$1,059.00	$2,653.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,093.07 / $1,542.05 / $2,276.05	Professional		$1,093.07	$1,542.05	$2,276.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $938.66 / $938.66 / $938.66	Facility		$938.66	$938.66	$938.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $830.49 / $1,202.75 / $2,121.69	Professional		$830.49	$1,202.75	$2,121.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,140.59	Facility		$555.00	$597.00	$1,140.59
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $112.96 / $112.96 / $112.96	Facility	AS	$112.96	$112.96	$112.96
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,049.01 / $1,518.35 / $3,497.67	Professional		$1,049.01	$1,518.35	$3,497.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $912.15 / $1,298.05 / $3,165.55	Professional		$912.15	$1,298.05	$3,165.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,202.75 / $1,202.75 / $2,838.35	Facility		$1,202.75	$1,202.75	$2,838.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $925.73 / $1,308.11 / $2,542.42	Professional		$925.73	$1,308.11	$2,542.42