Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,293.76 / $4,260.00 / $10,024.00	Facility		$1,293.76	$4,260.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $927.08 / $1,063.21 / $1,930.72	Professional		$927.08	$1,063.21	$1,930.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $824.93 / $1,078.34 / $2,384.34	Professional		$824.93	$1,078.34	$2,384.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,429.35 / $1,990.00 / $8,917.50	Facility		$1,429.35	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,429.35 / $1,429.35 / $1,429.35	Professional		$1,429.35	$1,429.35	$1,429.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,150.92 / $1,150.92 / $1,150.92	Facility		$1,150.92	$1,150.92	$1,150.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,016.23 / $1,568.62 / $3,823.62	Professional		$1,016.23	$1,568.62	$3,823.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,094.76 / $2,713.16	Facility		$332.00	$1,094.76	$2,713.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,109.45 / $1,575.00 / $2,327.29	Professional		$1,109.45	$1,575.00	$2,327.29
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $952.73 / $952.73 / $952.73	Facility		$952.73	$952.73	$952.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $826.13 / $1,214.90 / $2,143.12	Professional		$826.13	$1,214.90	$2,143.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,150.92	Facility		$555.00	$597.00	$1,150.92
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,045.63 / $1,547.61 / $3,534.48	Professional		$1,045.63	$1,547.61	$3,534.48
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 $937.99 / $1,312.47 / $3,070.19	Professional		$937.99	$1,312.47	$3,070.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,214.90 / $1,214.90 / $5,529.00	Facility		$1,214.90	$1,214.90	$5,529.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $952.73 / $1,327.73 / $2,568.11	Professional		$952.73	$1,327.73	$2,568.11