Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.59 / $4,525.00 / $10,965.00	Facility		$1,175.59	$4,525.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $882.59 / $1,009.07 / $1,943.74	Professional		$882.59	$1,009.07	$1,943.74
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 $792.19 / $1,035.55 / $2,381.21	Professional		$792.19	$1,035.55	$2,381.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,367.59 / $2,390.00 / $10,957.50	Facility		$1,367.59	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,367.59 / $1,367.59 / $1,367.59	Professional		$1,367.59	$1,367.59	$1,367.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,098.09 / $1,098.09 / $1,098.09	Facility		$1,098.09	$1,098.09	$1,098.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.44 / $1,460.03 / $3,655.34	Professional		$966.44	$1,460.03	$3,655.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,315.00 / $2,587.82	Facility		$332.00	$1,315.00	$2,587.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,058.76 / $1,502.29 / $2,219.77	Professional		$1,058.76	$1,502.29	$2,219.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $909.20 / $909.20 / $909.20	Facility		$909.20	$909.20	$909.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $788.74 / $1,159.91 / $2,046.11	Professional		$788.74	$1,159.91	$2,046.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,098.09	Facility		$555.00	$597.00	$1,098.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $999.14 / $1,460.03 / $3,376.03	Professional		$999.14	$1,460.03	$3,376.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $5,547.00 / $12,509.00	Facility		$2,705.00	$5,547.00	$12,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $860.27 / $1,243.46 / $3,160.52	Professional		$860.27	$1,243.46	$3,160.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,159.91 / $1,159.91 / $4,388.89	Facility		$1,159.91	$1,159.91	$4,388.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $816.46 / $1,267.07 / $2,451.86	Professional		$816.46	$1,267.07	$2,451.86