Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,328.19 / $4,827.00 / $10,526.00	Facility		$1,328.19	$4,827.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $930.67 / $1,491.95 / $3,295.60	Professional		$930.67	$1,491.95	$3,295.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.03 / $1,000.05 / $2,896.50	Professional		$776.03	$1,000.05	$2,896.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,764.35 / $2,390.00 / $10,957.50	Facility		$1,764.35	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,764.35 / $1,764.35 / $1,764.35	Professional		$1,764.35	$1,764.35	$1,764.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.93 / $1,380.93 / $6,511.02	Facility		$1,380.93	$1,380.93	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.00 / $1,748.36 / $4,975.57	Professional		$840.00	$1,748.36	$4,975.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,273.50 / $3,211.45	Facility		$319.00	$1,273.50	$3,211.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,427.31 / $1,644.69 / $2,469.25	Professional		$1,427.31	$1,644.69	$2,469.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $884.01 / $1,327.89 / $2,254.09	Professional		$884.01	$1,327.89	$2,254.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,380.93 / $6,511.02	Facility		$555.00	$1,380.93	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $982.47 / $1,825.66 / $4,542.35	Professional		$982.47	$1,825.66	$4,542.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,002.50 / $1,522.95 / $3,628.86	Professional		$1,002.50	$1,522.95	$3,628.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,327.89 / $1,327.89 / $3,342.35	Facility		$1,327.89	$1,327.89	$3,342.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $884.01 / $1,526.17 / $2,888.05	Professional		$884.01	$1,526.17	$2,888.05