Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.81 / $5,122.00 / $12,075.00	Facility		$936.81	$5,122.00	$12,075.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $683.80 / $2,491.75 / $4,628.82	Professional		$683.80	$2,491.75	$4,628.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,264.00 / $12,538.00	Facility		$4,046.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,259.68 / $2,827.14 / $6,548.02	Professional		$1,259.68	$2,827.14	$6,548.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $962.12 / $3,478.50 / $13,477.50	Facility		$962.12	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $962.12 / $962.12 / $3,995.84	Professional		$962.12	$962.12	$3,995.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,144.52 / $1,144.52 / $1,144.52	Facility		$1,144.52	$1,144.52	$1,144.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.13 / $2,734.97 / $8,428.60	Professional		$735.13	$2,734.97	$8,428.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,034.00 / $1,726.20	Facility		$332.00	$1,034.00	$1,726.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,735.50 / $3,853.24 / $5,661.67	Professional		$2,735.50	$3,853.24	$5,661.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,349.07 / $2,349.07 / $2,349.07	Facility		$2,349.07	$2,349.07	$2,349.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,325.64 / $3,207.79 / $5,419.84	Professional		$2,325.64	$3,207.79	$5,419.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,144.52	Facility		$555.00	$597.00	$1,144.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $773.73 / $3,244.29 / $8,840.84	Professional		$773.73	$3,244.29	$8,840.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $4,114.00 / $8,926.00	Facility		$2,160.00	$4,114.00	$8,926.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,466.52 / $3,520.31 / $9,645.16	Professional		$2,466.52	$3,520.31	$9,645.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $803.49 / $803.49 / $3,051.86	Facility		$803.49	$803.49	$3,051.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,775.86 / $3,072.43 / $5,419.84	Professional		$1,775.86	$3,072.43	$5,419.84