Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,292.10 / $4,392.00 / $10,024.00	Facility		$1,292.10	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $893.34 / $1,108.10 / $2,073.44	Professional		$893.34	$1,108.10	$2,073.44
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 $844.33 / $1,070.58 / $2,485.69	Professional		$844.33	$1,070.58	$2,485.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,503.99 / $1,990.00 / $8,917.50	Facility		$1,503.99	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,503.99 / $1,503.99 / $1,503.99	Professional		$1,503.99	$1,503.99	$1,503.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $1,208.95 / $1,208.95	Facility		$1,208.95	$1,208.95	$1,208.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $835.78 / $1,525.54 / $3,735.39	Professional		$835.78	$1,525.54	$3,735.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,095.00 / $2,849.90	Facility		$332.00	$1,095.00	$2,849.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,149.57 / $1,654.25 / $2,444.58	Professional		$1,149.57	$1,654.25	$2,444.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.91 / $1,000.91 / $1,000.91	Facility		$1,000.91	$1,000.91	$1,000.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $486.82 / $1,276.51 / $2,251.80	Professional		$486.82	$1,276.51	$2,251.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,208.95	Facility		$555.00	$597.00	$1,208.95
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $895.50 / $1,516.60 / $3,599.40	Professional		$895.50	$1,516.60	$3,599.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $889.25 / $1,319.46 / $3,378.59	Professional		$889.25	$1,319.46	$3,378.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,276.51 / $1,276.51 / $2,976.28	Facility		$1,276.51	$1,276.51	$2,976.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $868.03 / $1,394.87 / $2,698.34	Professional		$868.03	$1,394.87	$2,698.34