Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,180.81 / $4,043.00 / $10,024.00	Facility		$1,180.81	$4,043.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $882.59 / $1,046.69 / $1,873.67	Professional		$882.59	$1,046.69	$1,873.67
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 $836.60 / $1,060.79 / $2,374.87	Professional		$836.60	$1,060.79	$2,374.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,425.23 / $1,990.00 / $8,917.50	Facility		$1,425.23	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,425.23 / $1,425.23 / $1,425.23	Professional		$1,425.23	$1,425.23	$1,425.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,145.08 / $1,145.08 / $1,145.08	Facility		$1,145.08	$1,145.08	$1,145.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $940.35 / $1,431.37 / $3,609.08	Professional		$940.35	$1,431.37	$3,609.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,300.00 / $2,500.67	Facility		$332.00	$1,300.00	$2,500.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,089.35 / $1,470.64 / $2,145.02	Professional		$1,089.35	$1,470.64	$2,145.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $942.25 / $942.25 / $942.25	Facility		$942.25	$942.25	$942.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $704.61 / $1,204.48 / $2,124.73	Professional		$704.61	$1,204.48	$2,124.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,145.08	Facility		$555.00	$597.00	$1,145.08
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $987.86 / $1,451.43 / $3,327.33	Professional		$987.86	$1,451.43	$3,327.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $899.73 / $1,274.93 / $2,872.58	Professional		$899.73	$1,274.93	$2,872.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,204.48 / $1,204.48 / $3,802.33	Facility		$1,204.48	$1,204.48	$3,802.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $704.61 / $1,313.11 / $2,546.08	Professional		$704.61	$1,313.11	$2,546.08