Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,371.27 / $4,392.00 / $10,024.00	Facility		$1,371.27	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,029.83 / $1,203.71 / $3,732.24	Professional		$1,029.83	$1,203.71	$3,732.24
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 $956.73 / $1,241.93 / $2,694.25	Professional		$956.73	$1,241.93	$2,694.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,520.10 / $1,520.10 / $12,319.50	Facility		$1,520.10	$1,520.10	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,520.10 / $1,520.10 / $1,520.10	Professional		$1,520.10	$1,520.10	$1,520.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,137.85 / $1,137.85 / $1,137.85	Facility		$1,137.85	$1,137.85	$1,137.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,016.10 / $1,758.62 / $3,903.71	Professional		$1,016.10	$1,758.62	$3,903.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,460.00 / $2,596.25	Facility		$332.00	$1,460.00	$2,596.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,103.75 / $1,518.70 / $2,227.01	Professional		$1,103.75	$1,518.70	$2,227.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $947.83 / $947.83 / $947.83	Facility		$947.83	$947.83	$947.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $914.98 / $1,208.65 / $2,132.33	Professional		$914.98	$1,208.65	$2,132.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,137.85	Facility		$555.00	$597.00	$1,137.85
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,110.32 / $1,690.14 / $3,841.11	Professional		$1,110.32	$1,690.14	$3,841.11
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 $975.59 / $1,377.63 / $3,331.26	Professional		$975.59	$1,377.63	$3,331.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,208.79 / $1,208.79 / $4,994.45	Facility		$1,208.79	$1,208.79	$4,994.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $963.35 / $1,257.14 / $2,555.19	Professional		$963.35	$1,257.14	$2,555.19