Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,328.63 / $5,069.00 / $11,996.00	Facility		$1,328.63	$5,069.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $999.76 / $1,136.45 / $2,389.96	Professional		$999.76	$1,136.45	$2,389.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $895.24 / $1,170.25 / $2,676.16	Professional		$895.24	$1,170.25	$2,676.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,539.68 / $2,644.00 / $12,319.50	Facility		$1,539.68	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,539.68 / $1,539.68 / $1,539.68	Professional		$1,539.68	$1,539.68	$1,539.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,236.73 / $1,236.73 / $1,236.73	Facility		$1,236.73	$1,236.73	$1,236.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,087.65 / $1,654.91 / $4,122.17	Professional		$1,087.65	$1,654.91	$4,122.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,751.00 / $3,081.13	Facility		$332.00	$1,751.00	$3,081.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,190.77 / $1,689.77 / $2,497.21	Professional		$1,190.77	$1,689.77	$2,497.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,022.56 / $1,022.56 / $1,022.56	Facility		$1,022.56	$1,022.56	$1,022.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $887.50 / $1,109.38 / $2,302.32	Professional		$887.50	$1,109.38	$2,302.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $23,612.00	Facility		$555.00	$597.00	$23,612.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,125.35 / $1,654.91 / $3,816.07	Professional		$1,125.35	$1,654.91	$3,816.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,903.00	Facility		$2,341.00	$6,700.00	$16,903.00
United Facility/Professional Professional Modifier Low / Median / High Price $965.69 / $1,347.08 / $3,314.79	Professional		$965.69	$1,347.08	$3,314.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,305.15 / $1,305.15 / $5,144.92	Facility		$1,305.15	$1,305.15	$5,144.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $940.11 / $1,425.04 / $2,758.88	Professional		$940.11	$1,425.04	$2,758.88