Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.26 / $3,797.00 / $10,296.00	Facility		$1,175.26	$3,797.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.21 / $1,145.28 / $2,208.21	Professional		$933.21	$1,145.28	$2,208.21
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 $890.97 / $1,129.72 / $2,514.81	Professional		$890.97	$1,129.72	$2,514.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,549.89 / $1,549.89 / $10,957.50	Facility		$1,549.89	$1,549.89	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,549.89 / $1,549.89 / $1,549.89	Professional		$1,549.89	$1,549.89	$1,549.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,247.64 / $1,247.64 / $1,247.64	Facility		$1,247.64	$1,247.64	$1,247.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,062.68 / $1,585.64 / $4,020.44	Professional		$1,062.68	$1,585.64	$4,020.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,216.59 / $2,939.94	Facility		$332.00	$1,216.59	$2,939.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.75 / $1,706.99 / $2,521.82	Professional		$1,202.75	$1,706.99	$2,521.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,032.84 / $1,032.84 / $1,032.84	Facility		$1,032.84	$1,032.84	$1,032.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $825.93 / $1,120.03 / $2,324.42	Professional		$825.93	$1,120.03	$2,324.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,247.64	Facility		$555.00	$597.00	$1,247.64
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,105.06 / $1,585.64 / $3,793.32	Professional		$1,105.06	$1,585.64	$3,793.32
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 $971.40 / $1,365.68 / $3,442.04	Professional		$971.40	$1,365.68	$3,442.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,317.68 / $1,317.68 / $4,568.20	Facility		$1,317.68	$1,317.68	$4,568.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $896.03 / $1,439.38 / $2,785.37	Professional		$896.03	$1,439.38	$2,785.37