Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,894.00 / $12,051.00	Facility		$1,819.00	$5,894.00	$12,051.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,057.52 / $1,244.31 / $1,544.92	Professional		$1,057.52	$1,244.31	$1,544.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $982.81 / $1,220.49 / $2,064.30	Professional		$982.81	$1,220.49	$2,064.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,718.85 / $1,718.85 / $16,534.50	Facility		$1,718.85	$1,718.85	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,718.85 / $1,718.85 / $1,718.85	Professional		$1,718.85	$1,718.85	$1,718.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,364.20 / $1,364.20 / $1,364.20	Facility		$1,364.20	$1,364.20	$1,364.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,192.39 / $1,766.24 / $4,666.83	Professional		$1,192.39	$1,766.24	$4,666.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,125.00 / $2,048.06	Facility		$332.00	$1,125.00	$2,048.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $893.28 / $1,247.65 / $1,929.73	Professional		$893.28	$1,247.65	$1,929.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $742.65 / $742.65 / $742.65	Facility		$742.65	$742.65	$742.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $594.12 / $789.06 / $1,637.57	Professional		$594.12	$789.06	$1,637.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,364.20	Facility		$555.00	$597.00	$1,364.20
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,193.24 / $1,776.30 / $4,729.95	Professional		$1,193.24	$1,776.30	$4,729.95
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 $716.52 / $998.06 / $2,204.85	Professional		$716.52	$998.06	$2,204.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $928.31 / $928.31 / $1,978.83	Facility		$928.31	$928.31	$1,978.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $631.25 / $1,034.96 / $1,962.31	Professional		$631.25	$1,034.96	$1,962.31