Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,340.58 / $4,308.00 / $10,024.00	Facility		$1,340.58	$4,308.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $964.59 / $1,148.59 / $2,115.94	Professional		$964.59	$1,148.59	$2,115.94
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 $863.36 / $1,128.58 / $2,617.96	Professional		$863.36	$1,128.58	$2,617.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $3,478.50 / $13,477.50	Facility		$1,487.79	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $1,487.79	Professional		$1,487.79	$1,487.79	$1,487.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,197.05 / $1,197.05 / $1,197.05	Facility		$1,197.05	$1,197.05	$1,197.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,057.00 / $1,662.91 / $3,960.58	Professional		$1,057.00	$1,662.91	$3,960.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,083.00 / $2,817.09	Facility		$332.00	$1,083.00	$2,817.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,154.74 / $1,636.09 / $2,416.44	Professional		$1,154.74	$1,636.09	$2,416.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $991.62 / $991.62 / $991.62	Facility		$991.62	$991.62	$991.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $854.72 / $1,068.39 / $2,217.26	Professional		$854.72	$1,068.39	$2,217.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,197.05	Facility		$555.00	$597.00	$1,197.05
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,085.72 / $1,589.48 / $3,667.78	Professional		$1,085.72	$1,589.48	$3,667.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $937.42 / $1,364.89 / $3,379.21	Professional		$937.42	$1,364.89	$3,379.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,256.93 / $1,256.93 / $2,869.16	Facility		$1,256.93	$1,256.93	$2,869.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $943.72 / $1,381.92 / $2,656.96	Professional		$943.72	$1,381.92	$2,656.96