Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,290.00 / $5,202.00 / $11,996.00	Facility		$1,290.00	$5,202.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $921.66 / $1,051.15 / $1,962.17	Professional		$921.66	$1,051.15	$1,962.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $10,576.00 / $24,288.00	Facility		$4,977.00	$10,576.00	$24,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $826.06 / $1,079.83 / $2,464.14	Professional		$826.06	$1,079.83	$2,464.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,423.71 / $2,644.00 / $12,319.50	Facility		$1,423.71	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,423.71 / $1,423.71 / $1,423.71	Professional		$1,423.71	$1,423.71	$1,423.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,144.23 / $1,144.23 / $1,144.23	Facility		$1,144.23	$1,144.23	$1,144.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,007.11 / $1,526.70 / $3,810.28	Professional		$1,007.11	$1,526.70	$3,810.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,380.00 / $2,698.02	Facility		$332.00	$1,380.00	$2,698.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,103.05 / $1,565.97 / $2,314.30	Professional		$1,103.05	$1,565.97	$2,314.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $947.23 / $947.23 / $947.23	Facility		$947.23	$947.23	$947.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $821.05 / $1,026.32 / $2,129.92	Professional		$821.05	$1,026.32	$2,129.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,144.23	Facility		$555.00	$597.00	$1,144.23
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,039.40 / $1,526.70 / $3,523.42	Professional		$1,039.40	$1,526.70	$3,523.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $7,719.00 / $18,532.00	Facility		$2,673.00	$7,719.00	$18,532.00
United Facility/Professional Professional Modifier Low / Median / High Price $896.36 / $1,288.24 / $3,243.40	Professional		$896.36	$1,288.24	$3,243.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,207.43 / $1,207.43 / $4,708.89	Facility		$1,207.43	$1,207.43	$4,708.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $856.14 / $1,320.06 / $2,552.31	Professional		$856.14	$1,320.06	$2,552.31