Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,235.58 / $5,202.00 / $11,396.00	Facility		$1,235.58	$5,202.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.89 / $1,217.63 / $2,031.25	Professional		$798.89	$1,217.63	$2,031.25
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 $751.49 / $968.42 / $2,265.08	Professional		$751.49	$968.42	$2,265.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,418.01 / $2,644.00 / $12,319.50	Facility		$1,418.01	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,418.01 / $1,418.01 / $1,418.01	Professional		$1,418.01	$1,418.01	$1,418.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,128.52 / $1,128.52 / $7,289.38	Facility		$1,128.52	$1,128.52	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $711.00 / $1,548.23 / $3,595.53	Professional		$711.00	$1,548.23	$3,595.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,060.69 / $2,595.96	Facility		$319.00	$1,060.69	$2,595.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,153.76 / $1,347.24 / $2,016.21	Professional		$1,153.76	$1,347.24	$2,016.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $817.58 / $1,090.07 / $1,850.39	Professional		$817.58	$1,090.07	$1,850.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,128.52 / $7,289.38	Facility		$555.00	$1,128.52	$7,289.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $832.91 / $1,548.23 / $3,503.07	Professional		$832.91	$1,548.23	$3,503.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $5,963.00 / $12,509.00	Facility		$2,337.00	$5,963.00	$12,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $833.23 / $1,240.33 / $2,732.70	Professional		$833.23	$1,240.33	$2,732.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,090.07 / $1,090.07 / $3,164.99	Facility		$1,090.07	$1,090.07	$3,164.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $817.58 / $1,148.79 / $2,370.81	Professional		$817.58	$1,148.79	$2,370.81