Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,294.50 / $4,683.00 / $10,526.00	Facility		$1,294.50	$4,683.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $827.89 / $1,321.07 / $2,404.46	Professional		$827.89	$1,321.07	$2,404.46
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 $821.70 / $1,058.90 / $2,559.15	Professional		$821.70	$1,058.90	$2,559.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,539.60 / $2,390.00 / $10,957.50	Facility		$1,539.60	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,539.60 / $1,539.60 / $1,539.60	Professional		$1,539.60	$1,539.60	$1,539.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,226.58 / $1,226.58 / $6,511.02	Facility		$1,226.58	$1,226.58	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $801.22 / $1,760.25 / $3,904.99	Professional		$801.22	$1,760.25	$3,904.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,153.75 / $2,823.30	Facility		$319.00	$1,153.75	$2,823.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,254.80 / $1,465.91 / $2,193.80	Professional		$1,254.80	$1,465.91	$2,193.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $853.72 / $1,010.97 / $2,011.34	Professional		$853.72	$1,010.97	$2,011.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,226.58 / $6,511.02	Facility		$555.00	$1,226.58	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $861.11 / $1,765.27 / $4,014.46	Professional		$861.11	$1,765.27	$4,014.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,395.00 / $14,770.00	Facility		$2,705.00	$7,395.00	$14,770.00
United Facility/Professional Professional Modifier Low / Median / High Price $874.43 / $1,303.13 / $2,951.26	Professional		$874.43	$1,303.13	$2,951.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,184.89 / $1,184.89 / $3,330.41	Facility		$1,184.89	$1,184.89	$3,330.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $853.72 / $1,361.81 / $2,577.03	Professional		$853.72	$1,361.81	$2,577.03