Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,370.64 / $5,157.00 / $11,396.00	Facility		$1,370.64	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.90 / $1,166.65 / $2,180.13	Professional		$991.90	$1,166.65	$2,180.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,168.00	Facility		$3,283.00	$5,434.00	$12,168.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $923.42 / $1,207.08 / $2,654.42	Professional		$923.42	$1,207.08	$2,654.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,581.02 / $1,581.02 / $37,499.62	Facility		$1,581.02	$1,581.02	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,581.02 / $1,581.02 / $1,581.02	Professional		$1,581.02	$1,581.02	$1,581.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,270.14 / $1,270.14 / $1,270.14	Facility		$1,270.14	$1,270.14	$1,270.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,108.05 / $1,779.25 / $4,225.37	Professional		$1,108.05	$1,779.25	$4,225.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,520.00 / $2,991.69	Facility		$332.00	$1,520.00	$2,991.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,223.77 / $1,736.52 / $2,566.21	Professional		$1,223.77	$1,736.52	$2,566.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,050.90 / $1,050.90 / $1,050.90	Facility		$1,050.90	$1,050.90	$1,050.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $898.24 / $1,340.73 / $2,365.09	Professional		$898.24	$1,340.73	$2,365.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,270.14	Facility		$555.00	$597.00	$1,270.14
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,141.23 / $1,711.91 / $3,924.80	Professional		$1,141.23	$1,711.91	$3,924.80
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 $997.16 / $1,409.74 / $3,607.01	Professional		$997.16	$1,409.74	$3,607.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,340.73 / $1,340.73 / $4,678.81	Facility		$1,340.73	$1,340.73	$4,678.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $911.70 / $1,464.54 / $2,834.10	Professional		$911.70	$1,464.54	$2,834.10