Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.21 / $5,157.00 / $11,396.00	Facility		$1,272.21	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $914.32 / $1,045.90 / $1,953.28	Professional		$914.32	$1,045.90	$1,953.28
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 $822.08 / $1,074.61 / $2,447.27	Professional		$822.08	$1,074.61	$2,447.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,416.92 / $2,644.00 / $12,319.50	Facility		$1,416.92	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,416.92 / $1,416.92 / $1,416.92	Professional		$1,416.92	$1,416.92	$1,416.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,138.27 / $1,138.27 / $1,138.27	Facility		$1,138.27	$1,138.27	$1,138.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,002.38 / $1,513.36 / $3,790.78	Professional		$1,002.38	$1,513.36	$3,790.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,130.85 / $2,683.40	Facility		$332.00	$1,130.85	$2,683.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,097.40 / $1,557.59 / $2,301.76	Professional		$1,097.40	$1,557.59	$2,301.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $942.38 / $942.38 / $942.38	Facility		$942.38	$942.38	$942.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $817.02 / $1,201.49 / $2,119.46	Professional		$817.02	$1,201.49	$2,119.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,138.27	Facility		$555.00	$597.00	$1,138.27
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,034.25 / $1,513.36 / $3,500.75	Professional		$1,034.25	$1,513.36	$3,500.75
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 $891.77 / $1,264.85 / $3,086.53	Professional		$891.77	$1,264.85	$3,086.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,201.49 / $1,201.49 / $4,625.92	Facility		$1,201.49	$1,201.49	$4,625.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $842.95 / $1,313.30 / $2,539.76	Professional		$842.95	$1,313.30	$2,539.76