Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,404.27 / $5,960.00 / $12,338.00	Facility		$1,404.27	$5,960.00	$12,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.14 / $1,141.09 / $2,224.55	Professional		$974.14	$1,141.09	$2,224.55
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 $867.02 / $1,133.35 / $2,661.08	Professional		$867.02	$1,133.35	$2,661.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,545.35 / $1,545.35 / $13,944.00	Facility		$1,545.35	$1,545.35	$13,944.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,545.35 / $1,545.35 / $1,545.35	Professional		$1,545.35	$1,545.35	$1,545.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,256.56 / $1,256.56 / $1,256.56	Facility		$1,256.56	$1,256.56	$1,256.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,102.17 / $1,657.93 / $4,102.51	Professional		$1,102.17	$1,657.93	$4,102.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,495.00 / $2,961.68	Facility		$332.00	$1,495.00	$2,961.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,211.31 / $1,719.43 / $2,540.46	Professional		$1,211.31	$1,719.43	$2,540.46
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,040.20 / $1,040.20 / $1,040.20	Facility		$1,040.20	$1,040.20	$1,040.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $901.86 / $1,127.33 / $2,339.56	Professional		$901.86	$1,127.33	$2,339.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,256.56	Facility		$555.00	$597.00	$1,256.56
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,092.66 / $1,657.93 / $3,820.95	Professional		$1,092.66	$1,657.93	$3,820.95
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 $974.26 / $1,407.26 / $3,439.41	Professional		$974.26	$1,407.26	$3,439.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,326.27 / $1,326.27 / $4,645.70	Facility		$1,326.27	$1,326.27	$4,645.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $922.01 / $1,449.62 / $2,803.51	Professional		$922.01	$1,449.62	$2,803.51