Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.94 / $5,157.00 / $11,396.00	Facility		$1,288.94	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $919.55 / $1,061.08 / $1,936.72	Professional		$919.55	$1,061.08	$1,936.72
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 $851.40 / $1,112.95 / $2,411.66	Professional		$851.40	$1,112.95	$2,411.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,434.66 / $2,644.00 / $12,319.50	Facility		$1,434.66	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,434.66 / $1,434.66 / $1,434.66	Professional		$1,434.66	$1,434.66	$1,434.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,134.56 / $1,134.56 / $1,134.56	Facility		$1,134.56	$1,134.56	$1,134.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $980.88 / $1,540.36 / $3,551.00	Professional		$980.88	$1,540.36	$3,551.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,370.00 / $2,596.46	Facility		$332.00	$1,370.00	$2,596.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,106.28 / $1,520.06 / $2,227.17	Professional		$1,106.28	$1,520.06	$2,227.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $950.00 / $950.00	Facility		$950.00	$950.00	$950.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $824.04 / $1,211.82 / $2,137.67	Professional		$824.04	$1,211.82	$2,137.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,134.56	Facility		$555.00	$597.00	$1,134.56
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,038.58 / $1,525.71 / $3,533.98	Professional		$1,038.58	$1,525.71	$3,533.98
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 $913.61 / $1,276.89 / $3,161.51	Professional		$913.61	$1,276.89	$3,161.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,211.82 / $1,211.82 / $4,606.72	Facility		$1,211.82	$1,211.82	$4,606.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $866.05 / $1,323.93 / $2,561.59	Professional		$866.05	$1,323.93	$2,561.59