Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,287.96 / $4,629.00 / $10,674.00	Facility		$1,287.96	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.39 / $1,102.76 / $2,060.25	Professional		$960.39	$1,102.76	$2,060.25
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 $867.63 / $1,134.16 / $2,464.38	Professional		$867.63	$1,134.16	$2,464.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,494.42 / $2,390.00 / $10,957.50	Facility		$1,494.42	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,494.42 / $1,494.42 / $1,494.42	Professional		$1,494.42	$1,494.42	$1,494.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.39 / $1,200.39 / $1,200.39	Facility		$1,200.39	$1,200.39	$1,200.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.27 / $1,589.46 / $3,996.45	Professional		$1,058.27	$1,589.46	$3,996.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,141.43 / $2,829.76	Facility		$332.00	$1,141.43	$2,829.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,157.30 / $1,642.56 / $2,427.30	Professional		$1,157.30	$1,642.56	$2,427.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $993.82 / $993.82 / $993.82	Facility		$993.82	$993.82	$993.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $864.12 / $1,267.88 / $2,236.58	Professional		$864.12	$1,267.88	$2,236.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,200.39	Facility		$555.00	$597.00	$1,200.39
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,091.89 / $1,608.99 / $3,690.80	Professional		$1,091.89	$1,608.99	$3,690.80
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 $940.72 / $1,369.69 / $3,334.88	Professional		$940.72	$1,369.69	$3,334.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,267.88 / $1,267.88 / $4,849.87	Facility		$1,267.88	$1,267.88	$4,849.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $893.67 / $1,384.99 / $2,680.10	Professional		$893.67	$1,384.99	$2,680.10