Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,164.66 / $3,480.20 / $10,170.00	Facility		$1,164.66	$3,480.20	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $955.42 / $1,138.57 / $3,047.83	Professional		$955.42	$1,138.57	$3,047.83
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 $923.42 / $1,170.86 / $2,680.35	Professional		$923.42	$1,170.86	$2,680.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,558.61 / $1,558.61 / $12,319.50	Facility		$1,558.61	$1,558.61	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,558.61 / $1,558.61 / $1,558.61	Professional		$1,558.61	$1,558.61	$1,558.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,224.95 / $1,224.95 / $1,224.95	Facility		$1,224.95	$1,224.95	$1,224.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,064.77 / $1,625.00 / $4,005.34	Professional		$1,064.77	$1,625.00	$4,005.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,372.00 / $2,871.20	Facility		$332.00	$1,372.00	$2,871.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,279.83 / $1,707.30 / $2,462.85	Professional		$1,279.83	$1,707.30	$2,462.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,016.25 / $1,016.25 / $1,016.25	Facility		$1,016.25	$1,016.25	$1,016.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $813.00 / $1,298.09 / $2,289.88	Professional		$813.00	$1,298.09	$2,289.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,224.95	Facility		$555.00	$597.00	$1,224.95
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,127.88 / $1,641.25 / $3,844.75	Professional		$1,127.88	$1,641.25	$3,844.75
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 $977.02 / $1,377.03 / $3,314.53	Professional		$977.02	$1,377.03	$3,314.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,298.09 / $1,298.09 / $4,763.51	Facility		$1,298.09	$1,298.09	$4,763.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $813.00 / $1,416.25 / $2,743.97	Professional		$813.00	$1,416.25	$2,743.97