Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,291.75 / $5,202.00 / $11,996.00	Facility		$1,291.75	$5,202.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $968.73 / $1,105.89 / $2,066.27	Professional		$968.73	$1,105.89	$2,066.27
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 $870.47 / $1,137.88 / $2,605.06	Professional		$870.47	$1,137.88	$2,605.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,498.79 / $2,644.00 / $12,319.50	Facility		$1,498.79	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,498.79 / $1,498.79 / $1,498.79	Professional		$1,498.79	$1,498.79	$1,498.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,203.30 / $1,203.30 / $1,203.30	Facility		$1,203.30	$1,203.30	$1,203.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,059.49 / $1,605.53 / $4,010.98	Professional		$1,059.49	$1,605.53	$4,010.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,450.00 / $2,835.52	Facility		$332.00	$1,450.00	$2,835.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,159.44 / $1,645.76 / $2,432.23	Professional		$1,159.44	$1,645.76	$2,432.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $995.66 / $995.66 / $995.66	Facility		$995.66	$995.66	$995.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $832.69 / $1,270.25 / $2,240.75	Professional		$832.69	$1,270.25	$2,240.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,203.30	Facility		$555.00	$597.00	$1,203.30
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,093.59 / $1,605.53 / $3,709.94	Professional		$1,093.59	$1,605.53	$3,709.94
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 $943.78 / $1,326.95 / $3,266.63	Professional		$943.78	$1,326.95	$3,266.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,270.25 / $1,270.25 / $4,839.22	Facility		$1,270.25	$1,270.25	$4,839.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $863.77 / $1,387.55 / $2,685.10	Professional		$863.77	$1,387.55	$2,685.10