Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,290.00 / $5,157.00 / $11,396.00	Facility		$1,290.00	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $946.62 / $1,079.04 / $2,014.33	Professional		$946.62	$1,079.04	$2,014.33
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 $848.84 / $1,109.59 / $2,527.92	Professional		$848.84	$1,109.59	$2,527.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,462.09 / $2,644.00 / $12,319.50	Facility		$1,462.09	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,462.09 / $1,462.09 / $1,462.09	Professional		$1,462.09	$1,462.09	$1,462.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,175.09 / $1,175.09 / $1,175.09	Facility		$1,175.09	$1,175.09	$1,175.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,033.89 / $1,566.09 / $3,906.33	Professional		$1,033.89	$1,566.09	$3,906.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,117.39 / $2,769.55	Facility		$332.00	$1,117.39	$2,769.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,132.99 / $1,607.73 / $2,375.66	Professional		$1,132.99	$1,607.73	$2,375.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $972.94 / $972.94 / $972.94	Facility		$972.94	$972.94	$972.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $844.16 / $1,055.20 / $2,189.88	Professional		$844.16	$1,055.20	$2,189.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,175.09	Facility		$555.00	$597.00	$1,175.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,068.82 / $1,566.09 / $3,619.36	Professional		$1,068.82	$1,566.09	$3,619.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $933.06 / $1,295.26 / $3,187.42	Professional		$933.06	$1,295.26	$3,187.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,241.41 / $1,241.41 / $4,633.04	Facility		$1,241.41	$1,241.41	$4,633.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $857.02 / $1,355.89 / $2,624.14	Professional		$857.02	$1,355.89	$2,624.14