Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,231.47 / $4,629.00 / $10,674.00	Facility		$1,231.47	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.64 / $1,040.83 / $1,782.70	Professional		$924.64	$1,040.83	$1,782.70
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 $784.19 / $1,025.08 / $2,441.23	Professional		$784.19	$1,025.08	$2,441.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,408.82 / $2,390.00 / $10,957.50	Facility		$1,408.82	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,408.82 / $1,408.82 / $1,408.82	Professional		$1,408.82	$1,408.82	$1,408.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,130.83 / $1,130.83 / $1,130.83	Facility		$1,130.83	$1,130.83	$1,130.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $996.76 / $1,603.38 / $3,768.22	Professional		$996.76	$1,603.38	$3,768.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,075.25 / $2,665.80	Facility		$332.00	$1,075.25	$2,665.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,090.25 / $1,547.37 / $2,286.66	Professional		$1,090.25	$1,547.37	$2,286.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $936.24 / $936.24 / $936.24	Facility		$936.24	$936.24	$936.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $811.92 / $1,194.00 / $2,106.23	Professional		$811.92	$1,194.00	$2,106.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,130.83	Facility		$555.00	$597.00	$1,130.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,034.55 / $1,557.46 / $3,538.86	Professional		$1,034.55	$1,557.46	$3,538.86
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 $883.17 / $1,231.60 / $3,069.89	Professional		$883.17	$1,231.60	$3,069.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,194.00 / $1,194.00 / $5,656.30	Facility		$1,194.00	$1,194.00	$5,656.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $936.24 / $1,304.75 / $2,523.91	Professional		$936.24	$1,304.75	$2,523.91