Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,433.00 / $5,576.00 / $13,407.00	Facility		$1,433.00	$5,576.00	$13,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,022.43 / $1,166.91 / $2,243.02	Professional		$1,022.43	$1,166.91	$2,243.02
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 $923.42 / $1,207.08 / $2,789.02	Professional		$923.42	$1,207.08	$2,789.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,577.59 / $3,478.50 / $13,477.50	Facility		$1,577.59	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,577.59 / $1,577.59 / $1,577.59	Professional		$1,577.59	$1,577.59	$1,577.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,272.28 / $1,272.28 / $1,272.28	Facility		$1,272.28	$1,272.28	$1,272.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,119.36 / $1,693.47 / $4,219.30	Professional		$1,119.36	$1,693.47	$4,219.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,674.00 / $2,986.27	Facility		$332.00	$1,674.00	$2,986.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,223.99 / $1,734.26 / $2,561.55	Professional		$1,223.99	$1,734.26	$2,561.55
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.08 / $1,051.08 / $1,051.08	Facility		$1,051.08	$1,051.08	$1,051.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $915.23 / $1,345.93 / $2,374.25	Professional		$915.23	$1,345.93	$2,374.25
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 $1,153.38 / $1,693.47 / $3,869.49	Professional		$1,153.38	$1,693.47	$3,869.49
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 $988.17 / $1,382.39 / $3,563.10	Professional		$988.17	$1,382.39	$3,563.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,345.93 / $1,345.93 / $4,905.30	Facility		$1,345.93	$1,345.93	$4,905.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $941.00 / $1,464.80 / $2,845.08	Professional		$941.00	$1,464.80	$2,845.08