Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,363.99 / $5,202.00 / $11,996.00	Facility		$1,363.99	$5,202.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $966.35 / $1,165.33 / $2,303.03	Professional		$966.35	$1,165.33	$2,303.03
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 $929.11 / $1,178.08 / $2,533.50	Professional		$929.11	$1,178.08	$2,533.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,569.27 / $1,569.27 / $37,499.62	Facility		$1,569.27	$1,569.27	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,569.27 / $1,569.27 / $1,569.27	Professional		$1,569.27	$1,569.27	$1,569.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,303.43 / $1,303.43 / $1,303.43	Facility		$1,303.43	$1,303.43	$1,303.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.98 / $1,611.44 / $4,629.24	Professional		$1,075.98	$1,611.44	$4,629.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,408.00 / $3,221.10	Facility		$332.00	$1,408.00	$3,221.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,256.73 / $1,780.59 / $2,762.99	Professional		$1,256.73	$1,780.59	$2,762.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,058.26 / $1,058.26 / $1,058.26	Facility		$1,058.26	$1,058.26	$1,058.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $839.44 / $1,349.46 / $2,384.23	Professional		$839.44	$1,349.46	$2,384.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $37,776.00	Facility		$555.00	$597.00	$37,776.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,137.59 / $1,618.62 / $4,497.59	Professional		$1,137.59	$1,618.62	$4,497.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,762.00 / $16,961.00	Facility		$2,341.00	$6,762.00	$16,961.00
United Facility/Professional Professional Modifier Low / Median / High Price $973.49 / $1,463.97 / $3,619.23	Professional		$973.49	$1,463.97	$3,619.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,903.04 / $1,903.04 / $4,301.60	Facility		$1,903.04	$1,903.04	$4,301.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $839.44 / $1,587.60 / $2,857.05	Professional		$839.44	$1,587.60	$2,857.05