Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,240.68 / $4,409.00 / $10,024.00	Facility		$1,240.68	$4,409.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $919.86 / $1,065.19 / $2,238.98	Professional		$919.86	$1,065.19	$2,238.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $842.01 / $1,100.67 / $2,525.78	Professional		$842.01	$1,100.67	$2,525.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,441.93 / $1,990.00 / $8,917.50	Facility		$1,441.93	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,441.93 / $1,441.93 / $1,441.93	Professional		$1,441.93	$1,441.93	$1,441.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,151.96 / $1,151.96 / $1,151.96	Facility		$1,151.96	$1,151.96	$1,151.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,014.77 / $1,534.02 / $3,859.63	Professional		$1,014.77	$1,534.02	$3,859.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $973.50 / $2,697.17	Facility		$332.00	$973.50	$2,697.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,100.20 / $1,564.12 / $2,313.57	Professional		$1,100.20	$1,564.12	$2,313.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $944.79 / $944.79 / $944.79	Facility		$944.79	$944.79	$944.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $755.58 / $1,027.46 / $2,132.32	Professional		$755.58	$1,027.46	$2,132.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,151.96	Facility		$555.00	$597.00	$1,151.96
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,038.28 / $1,534.02 / $3,590.37	Professional		$1,038.28	$1,534.02	$3,590.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $925.12 / $1,352.20 / $3,555.20	Professional		$925.12	$1,352.20	$3,555.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,208.78 / $1,208.78 / $4,178.04	Facility		$1,208.78	$1,208.78	$4,178.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $821.97 / $1,316.65 / $2,555.17	Professional		$821.97	$1,316.65	$2,555.17