Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,320.05 / $4,574.00 / $10,024.00	Facility		$1,320.05	$4,574.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.91 / $1,306.42 / $2,477.69	Professional		$750.91	$1,306.42	$2,477.69
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 $680.94 / $877.51 / $2,430.29	Professional		$680.94	$877.51	$2,430.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,543.50 / $1,990.00 / $8,917.50	Facility		$1,543.50	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,543.50 / $1,543.50 / $1,543.50	Professional		$1,543.50	$1,543.50	$1,543.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.94 / $1,207.94 / $5,246.94	Facility		$1,207.94	$1,207.94	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $746.13 / $1,607.34 / $3,975.69	Professional		$746.13	$1,607.34	$3,975.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,142.14 / $2,805.01	Facility		$319.00	$1,142.14	$2,805.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,246.67 / $1,435.36 / $2,156.73	Professional		$1,246.67	$1,435.36	$2,156.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $793.87 / $1,161.08 / $1,970.92	Professional		$793.87	$1,161.08	$1,970.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,207.94 / $5,246.94	Facility		$555.00	$1,207.94	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $786.16 / $1,605.09 / $3,782.22	Professional		$786.16	$1,605.09	$3,782.22
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 $858.35 / $1,288.72 / $3,368.72	Professional		$858.35	$1,288.72	$3,368.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,161.08 / $1,161.08 / $2,777.52	Facility		$1,161.08	$1,161.08	$2,777.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $793.87 / $1,210.51 / $2,263.51	Professional		$793.87	$1,210.51	$2,263.51