Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,312.77 / $5,202.00 / $11,996.00	Facility		$1,312.77	$5,202.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $945.36 / $1,077.96 / $1,996.57	Professional		$945.36	$1,077.96	$1,996.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $17,122.00	Facility		$4,749.00	$9,877.00	$17,122.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $845.71 / $1,105.51 / $2,538.54	Professional		$845.71	$1,105.51	$2,538.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,459.95 / $2,644.00 / $12,319.50	Facility		$1,459.95	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,459.95 / $1,459.95 / $1,459.95	Professional		$1,459.95	$1,459.95	$1,459.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.49 / $1,172.49 / $1,172.49	Facility		$1,172.49	$1,172.49	$1,172.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.31 / $1,580.34 / $3,857.92	Professional		$1,028.31	$1,580.34	$3,857.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,113.51 / $2,751.95	Facility		$332.00	$1,113.51	$2,751.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,132.39 / $1,599.35 / $2,360.56	Professional		$1,132.39	$1,599.35	$2,360.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $972.42 / $972.42 / $972.42	Facility		$972.42	$972.42	$972.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $842.94 / $1,053.67 / $2,186.69	Professional		$842.94	$1,053.67	$2,186.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,172.49	Facility		$555.00	$597.00	$1,172.49
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,059.61 / $1,574.73 / $3,596.09	Professional		$1,059.61	$1,574.73	$3,596.09
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 $923.80 / $1,332.03 / $3,273.04	Professional		$923.80	$1,332.03	$3,273.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,239.60 / $1,239.60 / $4,804.42	Facility		$1,239.60	$1,239.60	$4,804.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $878.37 / $1,355.16 / $2,620.34	Professional		$878.37	$1,355.16	$2,620.34