Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,276.96 / $5,069.00 / $11,396.00	Facility		$1,276.96	$5,069.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $889.29 / $1,011.95 / $2,527.92	Professional		$889.29	$1,011.95	$2,527.92
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 $783.09 / $1,023.65 / $2,331.85	Professional		$783.09	$1,023.65	$2,331.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,350.46 / $2,644.00 / $12,319.50	Facility		$1,350.46	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,350.46 / $1,350.46 / $1,350.46	Professional		$1,350.46	$1,350.46	$1,350.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.54 / $1,089.54 / $1,089.54	Facility		$1,089.54	$1,089.54	$1,089.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $1,533.28 / $3,608.85	Professional		$960.00	$1,533.28	$3,608.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,623.71 / $2,649.60	Facility		$332.00	$1,623.71	$2,649.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,050.45 / $1,490.48 / $2,201.94	Professional		$1,050.45	$1,490.48	$2,201.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $902.06 / $902.06 / $902.06	Facility		$902.06	$902.06	$902.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $782.37 / $977.96 / $2,029.59	Professional		$782.37	$977.96	$2,029.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,089.54	Facility		$555.00	$597.00	$1,089.54
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $990.63 / $1,471.61 / $3,346.14	Professional		$990.63	$1,471.61	$3,346.14
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 $849.14 / $1,200.55 / $2,952.22	Professional		$849.14	$1,200.55	$2,952.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,150.54 / $1,150.54 / $5,005.89	Facility		$1,150.54	$1,150.54	$5,005.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $868.76 / $1,196.57 / $2,432.06	Professional		$868.76	$1,196.57	$2,432.06