Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,298.41 / $5,157.00 / $11,396.00	Facility		$1,298.41	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $919.99 / $1,082.17 / $2,020.62	Professional		$919.99	$1,082.17	$2,020.62
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 $851.68 / $1,108.78 / $2,451.26	Professional		$851.68	$1,108.78	$2,451.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,466.36 / $1,466.36 / $37,499.62	Facility		$1,466.36	$1,466.36	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,466.36 / $1,466.36 / $1,466.36	Professional		$1,466.36	$1,466.36	$1,466.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,178.07 / $1,178.07 / $1,178.07	Facility		$1,178.07	$1,178.07	$1,178.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,027.84 / $1,519.79 / $3,904.27	Professional		$1,027.84	$1,519.79	$3,904.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,685.00 / $2,776.91	Facility		$332.00	$1,685.00	$2,776.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,232.20 / $1,638.64 / $2,381.96	Professional		$1,232.20	$1,638.64	$2,381.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $975.38 / $975.38 / $975.38	Facility		$975.38	$975.38	$975.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $780.30 / $1,243.78 / $2,195.42	Professional		$780.30	$1,243.78	$2,195.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,178.07	Facility		$555.00	$597.00	$1,178.07
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,053.51 / $1,538.69 / $3,622.66	Professional		$1,053.51	$1,538.69	$3,622.66
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 $939.61 / $1,298.25 / $3,082.90	Professional		$939.61	$1,298.25	$3,082.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,244.55 / $1,244.55 / $4,686.38	Facility		$1,244.55	$1,244.55	$4,686.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $780.30 / $1,294.33 / $2,630.79	Professional		$780.30	$1,294.33	$2,630.79