Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,371.85 / $5,157.00 / $11,396.00	Facility		$1,371.85	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.80 / $1,134.36 / $2,116.28	Professional		$992.80	$1,134.36	$2,116.28
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 $897.23 / $1,172.85 / $2,681.70	Professional		$897.23	$1,172.85	$2,681.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,536.48 / $2,644.00 / $12,319.50	Facility		$1,536.48	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,536.48 / $1,536.48 / $1,536.48	Professional		$1,536.48	$1,536.48	$1,536.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,234.82 / $1,234.82 / $1,234.82	Facility		$1,234.82	$1,234.82	$1,234.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,085.35 / $1,642.86 / $4,113.97	Professional		$1,085.35	$1,642.86	$4,113.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,480.00 / $2,904.39	Facility		$332.00	$1,480.00	$2,904.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,188.38 / $1,685.91 / $2,491.32	Professional		$1,188.38	$1,685.91	$2,491.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,020.50 / $1,020.50 / $1,020.50	Facility		$1,020.50	$1,020.50	$1,020.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $886.12 / $1,107.65 / $2,298.73	Professional		$886.12	$1,107.65	$2,298.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $23,612.00	Facility		$555.00	$597.00	$23,612.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,120.99 / $1,642.86 / $3,792.87	Professional		$1,120.99	$1,642.86	$3,792.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $980.95 / $1,408.70 / $3,438.49	Professional		$980.95	$1,408.70	$3,438.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,303.11 / $1,303.11 / $5,028.25	Facility		$1,303.11	$1,303.11	$5,028.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $927.15 / $1,422.17 / $2,754.58	Professional		$927.15	$1,422.17	$2,754.58