Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,336.33 / $5,157.00 / $11,396.00	Facility		$1,336.33	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $999.56 / $1,166.09 / $1,993.44	Professional		$999.56	$1,166.09	$1,993.44
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 $816.10 / $1,066.81 / $2,578.62	Professional		$816.10	$1,066.81	$2,578.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,458.34 / $1,458.34 / $37,499.62	Facility		$1,458.34	$1,458.34	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,458.34 / $1,458.34 / $1,458.34	Professional		$1,458.34	$1,458.34	$1,458.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,166.55 / $1,166.55 / $1,166.55	Facility		$1,166.55	$1,166.55	$1,166.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,022.77 / $1,673.93 / $3,832.13	Professional		$1,022.77	$1,673.93	$3,832.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,272.00 / $2,707.34	Facility		$332.00	$1,272.00	$2,707.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,130.98 / $1,579.01 / $2,322.29	Professional		$1,130.98	$1,579.01	$2,322.29
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $971.22 / $971.22 / $971.22	Facility		$971.22	$971.22	$971.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $911.13 / $1,242.83 / $2,192.40	Professional		$911.13	$1,242.83	$2,192.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,166.55	Facility		$555.00	$597.00	$1,166.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,049.11 / $1,549.91 / $3,688.68	Professional		$1,049.11	$1,549.91	$3,688.68
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 $894.03 / $1,287.94 / $3,053.02	Professional		$894.03	$1,287.94	$3,053.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,242.83 / $1,242.83 / $5,258.03	Facility		$1,242.83	$1,242.83	$5,258.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $961.38 / $1,353.49 / $2,627.16	Professional		$961.38	$1,353.49	$2,627.16