Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,263.10 / $4,409.00 / $10,024.00	Facility		$1,263.10	$4,409.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.09 / $1,060.96 / $2,105.09	Professional		$887.09	$1,060.96	$2,105.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $866.98 / $1,133.32 / $2,423.39	Professional		$866.98	$1,133.32	$2,423.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,369.60 / $1,990.00 / $8,917.50	Facility		$1,369.60	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,369.60 / $1,369.60 / $1,369.60	Professional		$1,369.60	$1,369.60	$1,369.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,098.84 / $1,098.84 / $1,098.84	Facility		$1,098.84	$1,098.84	$1,098.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.89 / $1,554.85 / $3,662.74	Professional		$968.89	$1,554.85	$3,662.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,475.00 / $2,589.19	Facility		$332.00	$1,475.00	$2,589.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,059.58 / $1,503.13 / $2,220.94	Professional		$1,059.58	$1,503.13	$2,220.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $909.90 / $909.90 / $909.90	Facility		$909.90	$909.90	$909.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $789.55 / $1,161.10 / $2,048.21	Professional		$789.55	$1,161.10	$2,048.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,098.84	Facility		$555.00	$597.00	$1,098.84
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,005.15 / $1,513.02 / $3,450.01	Professional		$1,005.15	$1,513.02	$3,450.01
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 $864.41 / $1,269.28 / $2,946.49	Professional		$864.41	$1,269.28	$2,946.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,161.10 / $1,161.10 / $5,588.45	Facility		$1,161.10	$1,161.10	$5,588.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $909.90 / $1,268.03 / $2,454.39	Professional		$909.90	$1,268.03	$2,454.39