Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,322.49 / $4,392.00 / $10,024.00	Facility		$1,322.49	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $899.19 / $1,061.65 / $1,942.50	Professional		$899.19	$1,061.65	$1,942.50
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 $798.40 / $1,043.67 / $2,475.71	Professional		$798.40	$1,043.67	$2,475.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,433.23 / $1,990.00 / $8,917.50	Facility		$1,433.23	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,433.23 / $1,433.23 / $1,433.23	Professional		$1,433.23	$1,433.23	$1,433.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,150.55 / $1,150.55 / $1,150.55	Facility		$1,150.55	$1,150.55	$1,150.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,011.30 / $1,606.13 / $3,827.37	Professional		$1,011.30	$1,606.13	$3,827.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,094.00 / $2,712.76	Facility		$332.00	$1,094.00	$2,712.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,109.21 / $1,574.52 / $2,326.94	Professional		$1,109.21	$1,574.52	$2,326.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $952.52 / $952.52 / $952.52	Facility		$952.52	$952.52	$952.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $825.94 / $1,032.43 / $2,142.63	Professional		$825.94	$1,032.43	$2,142.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,150.55	Facility		$555.00	$597.00	$1,150.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,053.11 / $1,607.59 / $3,604.32	Professional		$1,053.11	$1,607.59	$3,604.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $927.67 / $1,323.57 / $3,304.70	Professional		$927.67	$1,323.57	$3,304.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,214.61 / $1,214.61 / $5,597.47	Facility		$1,214.61	$1,214.61	$5,597.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $952.52 / $1,263.21 / $2,567.52	Professional		$952.52	$1,263.21	$2,567.52