Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.30 / $961.45 / $2,795.22	Facility		$804.30	$961.45	$2,795.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $804.30 / $1,386.41 / $3,615.87	Professional		$804.30	$1,386.41	$3,615.87
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 $0.02 / $547.55 / $1,738.52	Professional		$0.02	$547.55	$1,738.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,757.34 / $4,757.34 / $4,757.34	Facility		$4,757.34	$4,757.34	$4,757.34
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,757.34 / $4,757.34 / $4,757.34	Professional		$4,757.34	$4,757.34	$4,757.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,181.37 / $5,181.37 / $5,181.37	Facility		$5,181.37	$5,181.37	$5,181.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,080.93 / $4,643.91 / $12,163.04	Professional		$3,080.93	$4,643.91	$12,163.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,293.14 / $2,743.27	Facility		$319.00	$1,293.14	$2,743.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6,798.37 / $9,601.52 / $14,707.08	Professional		$6,798.37	$9,601.52	$14,707.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,217.08 / $6,217.08 / $6,217.08	Facility		$6,217.08	$6,217.08	$6,217.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $533.84 / $7,771.36 / $13,708.86	Professional		$533.84	$7,771.36	$13,708.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $5,181.37	Facility		$555.00	$597.00	$5,181.37
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,080.93 / $4,844.24 / $12,327.31	Professional		$3,080.93	$4,844.24	$12,327.31
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 $2,322.31 / $7,599.46 / $16,272.17	Professional		$2,322.31	$7,599.46	$16,272.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,243.40 / $1,243.40 / $16,776.03	Facility		$1,243.40	$1,243.40	$16,776.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,243.40 / $7,771.36 / $13,708.86	Professional		$1,243.40	$7,771.36	$13,708.86