Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,249.20 / $4,629.00 / $10,674.00	Facility		$1,249.20	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $946.97 / $1,073.75 / $2,263.89	Professional		$946.97	$1,073.75	$2,263.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,168.00	Facility		$3,283.00	$5,434.00	$12,168.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $849.41 / $1,110.34 / $2,586.33	Professional		$849.41	$1,110.34	$2,586.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,439.10 / $1,439.10 / $37,499.62	Facility		$1,439.10	$1,439.10	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,439.10 / $1,439.10 / $1,439.10	Professional		$1,439.10	$1,439.10	$1,439.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,164.19 / $1,164.19 / $1,164.19	Facility		$1,164.19	$1,164.19	$1,164.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,042.34 / $1,576.27 / $3,992.72	Professional		$1,042.34	$1,576.27	$3,992.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,200.00 / $2,734.22	Facility		$332.00	$1,200.00	$2,734.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,097.02 / $1,578.36 / $2,345.36	Professional		$1,097.02	$1,578.36	$2,345.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $942.05 / $942.05 / $942.05	Facility		$942.05	$942.05	$942.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $910.76 / $1,201.27 / $2,127.44	Professional		$910.76	$1,201.27	$2,127.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,164.19	Facility		$555.00	$597.00	$1,164.19
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,074.39 / $1,570.41 / $3,690.24	Professional		$1,074.39	$1,570.41	$3,690.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $964.36 / $1,307.36 / $3,299.63	Professional		$964.36	$1,307.36	$3,299.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,206.02 / $1,206.02 / $4,828.83	Facility		$1,206.02	$1,206.02	$4,828.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $910.76 / $1,254.26 / $2,549.32	Professional		$910.76	$1,254.26	$2,549.32