Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,520.85 / $4,683.00 / $10,526.00	Facility		$1,520.85	$4,683.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,132.93 / $1,630.88 / $3,046.20	Professional		$1,132.93	$1,630.88	$3,046.20
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 $969.02 / $1,266.70 / $3,343.11	Professional		$969.02	$1,266.70	$3,343.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,649.04 / $2,390.00 / $10,957.50	Facility		$1,649.04	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,649.04 / $1,649.04 / $1,649.04	Professional		$1,649.04	$1,649.04	$1,649.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,314.19 / $1,314.19 / $6,511.02	Facility		$1,314.19	$1,314.19	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.70 / $2,197.59 / $4,297.95	Professional		$916.70	$2,197.59	$4,297.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,236.17 / $3,025.67	Facility		$319.00	$1,236.17	$3,025.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,344.74 / $1,571.73 / $2,352.17	Professional		$1,344.74	$1,571.73	$2,352.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,010.19 / $1,269.83 / $2,155.54	Professional		$1,010.19	$1,269.83	$2,155.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,314.19 / $6,511.02	Facility		$555.00	$1,314.19	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,150.68 / $2,163.50 / $4,762.25	Professional		$1,150.68	$2,163.50	$4,762.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $971.16 / $1,426.33 / $3,754.25	Professional		$971.16	$1,426.33	$3,754.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,269.83 / $1,269.83 / $3,680.47	Facility		$1,269.83	$1,269.83	$3,680.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,032.70 / $1,459.45 / $2,761.79	Professional		$1,032.70	$1,459.45	$2,761.79