Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,160.03 / $4,629.00 / $10,674.00	Facility		$1,160.03	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.34 / $1,000.88 / $1,860.35	Professional		$870.34	$1,000.88	$1,860.35
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 $781.37 / $1,021.41 / $2,158.67	Professional		$781.37	$1,021.41	$2,158.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,349.39 / $2,390.00 / $10,957.50	Facility		$1,349.39	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,349.39 / $1,349.39 / $1,349.39	Professional		$1,349.39	$1,349.39	$1,349.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,083.97 / $1,083.97 / $1,083.97	Facility		$1,083.97	$1,083.97	$1,083.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.08 / $1,444.74 / $3,608.96	Professional		$953.08	$1,444.74	$3,608.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,515.00 / $2,555.69	Facility		$332.00	$1,515.00	$2,555.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,044.96 / $1,483.43 / $2,192.21	Professional		$1,044.96	$1,483.43	$2,192.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $897.35 / $897.35 / $897.35	Facility		$897.35	$897.35	$897.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $778.16 / $972.70 / $2,018.66	Professional		$778.16	$972.70	$2,018.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,083.97	Facility		$555.00	$597.00	$1,083.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $988.10 / $1,536.03 / $3,345.52	Professional		$988.10	$1,536.03	$3,345.52
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 $849.08 / $1,251.59 / $2,882.25	Professional		$849.08	$1,251.59	$2,882.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,144.34 / $1,144.34 / $5,526.65	Facility		$1,144.34	$1,144.34	$5,526.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $897.35 / $1,250.54 / $2,418.98	Professional		$897.35	$1,250.54	$2,418.98