Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,179.66 / $4,525.00 / $10,526.00	Facility		$1,179.66	$4,525.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.37 / $1,012.88 / $1,890.72	Professional		$880.37	$1,012.88	$1,890.72
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 $795.33 / $1,039.65 / $2,391.19	Professional		$795.33	$1,039.65	$2,391.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,372.02 / $2,390.00 / $10,957.50	Facility		$1,372.02	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,372.02 / $1,372.02 / $1,372.02	Professional		$1,372.02	$1,372.02	$1,372.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,101.82 / $1,101.82 / $1,101.82	Facility		$1,101.82	$1,101.82	$1,101.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $969.88 / $1,456.63 / $3,670.53	Professional		$969.88	$1,456.63	$3,670.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,081.50 / $2,596.48	Facility		$332.00	$1,081.50	$2,596.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,062.36 / $1,507.33 / $2,227.19	Professional		$1,062.36	$1,507.33	$2,227.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.30 / $912.30 / $912.30	Facility		$912.30	$912.30	$912.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $791.66 / $1,164.20 / $2,053.67	Professional		$791.66	$1,164.20	$2,053.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,101.82	Facility		$555.00	$597.00	$1,101.82
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,002.41 / $1,458.14 / $3,388.76	Professional		$1,002.41	$1,458.14	$3,388.76
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 $866.41 / $1,272.84 / $3,171.69	Professional		$866.41	$1,272.84	$3,171.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,164.20 / $1,164.20 / $4,304.84	Facility		$1,164.20	$1,164.20	$4,304.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $801.26 / $1,271.38 / $2,460.92	Professional		$801.26	$1,271.38	$2,460.92