Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,290.00 / $5,157.00 / $11,396.00	Facility		$1,290.00	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $943.21 / $1,103.20 / $2,421.54	Professional		$943.21	$1,103.20	$2,421.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.00 / $7,631.00 / $14,193.00	Facility		$4,464.00	$7,631.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $884.71 / $1,156.49 / $2,451.29	Professional		$884.71	$1,156.49	$2,451.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,452.73 / $1,452.73 / $12,319.50	Facility		$1,452.73	$1,452.73	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,452.73 / $1,452.73 / $4,358.18	Professional		$1,452.73	$1,452.73	$4,358.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,146.48 / $1,146.48 / $1,146.48	Facility		$1,146.48	$1,146.48	$1,146.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.84 / $1,537.72 / $3,579.30	Professional		$809.84	$1,537.72	$3,579.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,433.00 / $2,597.44	Facility		$332.00	$1,433.00	$2,597.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,112.36 / $1,521.36 / $2,228.03	Professional		$1,112.36	$1,521.36	$2,228.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $955.23 / $955.23 / $955.23	Facility		$955.23	$955.23	$955.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $827.45 / $1,216.83 / $2,146.52	Professional		$827.45	$1,216.83	$2,146.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,146.48	Facility		$555.00	$597.00	$1,146.48
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $995.40 / $1,529.08 / $3,575.18	Professional		$995.40	$1,529.08	$3,575.18
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 $935.97 / $1,299.96 / $3,199.03	Professional		$935.97	$1,299.96	$3,199.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,216.83 / $1,216.83 / $4,715.81	Facility		$1,216.83	$1,216.83	$4,715.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $852.45 / $1,331.20 / $2,572.19	Professional		$852.45	$1,331.20	$2,572.19