Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,342.11 / $4,683.00 / $10,965.00	Facility		$1,342.11	$4,683.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $993.81 / $1,150.49 / $2,691.60	Professional		$993.81	$1,150.49	$2,691.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $9,808.00 / $16,411.00	Facility		$4,977.00	$9,808.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $865.65 / $1,131.57 / $2,649.56	Professional		$865.65	$1,131.57	$2,649.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,557.95 / $1,557.95 / $13,009.50	Facility		$1,557.95	$1,557.95	$13,009.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,557.95 / $1,557.95 / $1,557.95	Professional		$1,557.95	$1,557.95	$1,557.95
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 / $1,660.75 / $4,160.78	Professional		$1,102.17	$1,660.75	$4,160.78
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 / $1,326.27 / $2,339.56	Professional		$901.86	$1,326.27	$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 / $1,660.75 / $3,849.75	Professional		$1,092.66	$1,660.75	$3,849.75
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 $978.53 / $1,375.34 / $3,468.55	Professional		$978.53	$1,375.34	$3,468.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,326.27 / $1,326.27 / $3,872.82	Facility		$1,326.27	$1,326.27	$3,872.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $919.18 / $1,449.62 / $2,803.51	Professional		$919.18	$1,449.62	$2,803.51