Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,253.56 / $4,392.00 / $10,024.00	Facility		$1,253.56	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.23 / $1,038.93 / $1,970.54	Professional		$887.23	$1,038.93	$1,970.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $806.39 / $1,054.10 / $2,354.94	Professional		$806.39	$1,054.10	$2,354.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,380.86 / $1,990.00 / $8,917.50	Facility		$1,380.86	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,380.86 / $1,380.86 / $1,380.86	Professional		$1,380.86	$1,380.86	$1,380.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.95 / $1,115.95 / $1,115.95	Facility		$1,115.95	$1,115.95	$1,115.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $991.10 / $1,530.83 / $3,822.39	Professional		$991.10	$1,530.83	$3,822.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,125.00 / $2,623.50	Facility		$332.00	$1,125.00	$2,623.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,039.85 / $1,495.23 / $2,250.38	Professional		$1,039.85	$1,495.23	$2,250.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $898.79 / $898.79 / $898.79	Facility		$898.79	$898.79	$898.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.17 / $986.89 / $2,027.90	Professional		$870.17	$986.89	$2,027.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,115.95	Facility		$555.00	$597.00	$1,115.95
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $984.80 / $1,505.74 / $3,371.37	Professional		$984.80	$1,505.74	$3,371.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $899.66 / $1,305.89 / $3,174.43	Professional		$899.66	$1,305.89	$3,174.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,149.58 / $1,149.58 / $2,326.03	Facility		$1,149.58	$1,149.58	$2,326.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $898.79 / $1,252.56 / $2,326.03	Professional		$898.79	$1,252.56	$2,326.03