Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,267.56 / $5,324.00 / $12,466.00	Facility		$1,267.56	$5,324.00	$12,466.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.91 / $1,052.04 / $1,944.62	Professional		$905.91	$1,052.04	$1,944.62
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 $827.20 / $1,081.32 / $2,394.82	Professional		$827.20	$1,081.32	$2,394.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,425.29 / $1,425.29 / $13,477.50	Facility		$1,425.29	$1,425.29	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,425.29 / $1,425.29 / $1,425.29	Professional		$1,425.29	$1,425.29	$1,425.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,135.13 / $1,135.13 / $1,135.13	Facility		$1,135.13	$1,135.13	$1,135.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $987.29 / $1,496.92 / $3,735.57	Professional		$987.29	$1,496.92	$3,735.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,284.00 / $2,650.12	Facility		$332.00	$1,284.00	$2,650.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,093.38 / $1,540.89 / $2,273.21	Professional		$1,093.38	$1,540.89	$2,273.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $938.93 / $938.93 / $938.93	Facility		$938.93	$938.93	$938.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $805.79 / $1,020.37 / $2,117.58	Professional		$805.79	$1,020.37	$2,117.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,135.13	Facility		$555.00	$597.00	$1,135.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,031.09 / $1,496.92 / $3,478.79	Professional		$1,031.09	$1,496.92	$3,478.79
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 $906.38 / $1,258.85 / $3,190.15	Professional		$906.38	$1,258.85	$3,190.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,200.43 / $1,200.43 / $4,087.93	Facility		$1,200.43	$1,200.43	$4,087.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $805.79 / $1,248.44 / $2,537.51	Professional		$805.79	$1,248.44	$2,537.51