Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,154.82 / $3,797.00 / $10,296.00	Facility		$1,154.82	$3,797.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.62 / $1,005.23 / $1,835.78	Professional		$866.62	$1,005.23	$1,835.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,228.00	Facility		$3,283.00	$5,434.00	$12,228.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $793.90 / $1,037.79 / $2,264.26	Professional		$793.90	$1,037.79	$2,264.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,363.40 / $1,363.40 / $37,499.62	Facility		$1,363.40	$1,363.40	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,363.40 / $1,363.40 / $1,363.40	Professional		$1,363.40	$1,363.40	$1,363.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,094.01 / $1,094.01 / $1,094.01	Facility		$1,094.01	$1,094.01	$1,094.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.18 / $1,442.23 / $3,645.31	Professional		$961.18	$1,442.23	$3,645.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,086.95 / $2,579.06	Facility		$332.00	$1,086.95	$2,579.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,054.79 / $1,496.96 / $2,212.26	Professional		$1,054.79	$1,496.96	$2,212.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $905.79 / $905.79 / $905.79	Facility		$905.79	$905.79	$905.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.26 / $981.26 / $2,036.42	Professional		$776.26	$981.26	$2,036.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,094.01	Facility		$555.00	$597.00	$1,094.01
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $993.98 / $1,444.01 / $3,359.07	Professional		$993.98	$1,444.01	$3,359.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,719.00 / $16,692.00	Facility		$2,705.00	$7,719.00	$16,692.00
United Facility/Professional Professional Modifier Low / Median / High Price $859.35 / $1,253.71 / $3,059.04	Professional		$859.35	$1,253.71	$3,059.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,154.42 / $1,154.42 / $4,096.21	Facility		$1,154.42	$1,154.42	$4,096.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $776.26 / $1,262.30 / $2,440.26	Professional		$776.26	$1,262.30	$2,440.26