Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,342.00 / $3,938.00 / $9,038.00	Facility		$1,342.00	$3,938.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,093.09 / $1,242.83 / $2,850.49	Professional		$1,093.09	$1,242.83	$2,850.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $787.98 / $1,015.45 / $2,622.15	Professional		$787.98	$1,015.45	$2,622.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,468.87 / $3,183.00 / $13,009.50	Facility		$1,468.87	$3,183.00	$13,009.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,468.87 / $1,468.87 / $1,468.87	Professional		$1,468.87	$1,468.87	$1,468.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,192.75 / $1,192.75 / $10,297.11	Facility		$1,192.75	$1,192.75	$10,297.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.88 / $1,907.69 / $4,529.12	Professional		$1,066.88	$1,907.69	$4,529.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,084.80 / $2,785.88	Facility		$332.00	$1,084.80	$2,785.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,228.92 / $1,408.46 / $2,142.03	Professional		$1,228.92	$1,408.46	$2,142.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $847.79 / $1,246.75 / $1,860.15	Professional		$847.79	$1,246.75	$1,860.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,192.75 / $10,297.11	Facility		$555.00	$1,192.75	$10,297.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,065.81 / $1,833.29 / $3,847.60	Professional		$1,065.81	$1,833.29	$3,847.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,019.92 / $1,403.24 / $3,349.38	Professional		$1,019.92	$1,403.24	$3,349.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,246.75 / $1,246.75 / $2,846.55	Facility		$1,246.75	$1,246.75	$2,846.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $916.15 / $1,296.58 / $2,453.51	Professional		$916.15	$1,296.58	$2,453.51