Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,462.33 / $4,683.00 / $10,526.00	Facility		$1,462.33	$4,683.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $964.21 / $1,464.39 / $2,733.23	Professional		$964.21	$1,464.39	$2,733.23
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 $917.38 / $1,185.79 / $2,862.84	Professional		$917.38	$1,185.79	$2,862.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,708.53 / $2,390.00 / $10,957.50	Facility		$1,708.53	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,708.53 / $1,708.53 / $1,708.53	Professional		$1,708.53	$1,708.53	$1,708.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,360.05 / $1,360.05 / $6,511.02	Facility		$1,360.05	$1,360.05	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.86 / $2,053.46 / $4,329.50	Professional		$895.86	$2,053.46	$4,329.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,278.46 / $3,128.54	Facility		$319.00	$1,278.46	$3,128.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,390.46 / $1,626.49 / $2,434.13	Professional		$1,390.46	$1,626.49	$2,434.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $959.34 / $1,121.72 / $2,231.10	Professional		$959.34	$1,121.72	$2,231.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,360.05 / $6,511.02	Facility		$555.00	$1,360.05	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,002.20 / $2,053.46 / $4,375.42	Professional		$1,002.20	$2,053.46	$4,375.42
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 $958.21 / $1,446.95 / $3,682.94	Professional		$958.21	$1,446.95	$3,682.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,314.35 / $1,314.35 / $3,605.12	Facility		$1,314.35	$1,314.35	$3,605.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $959.34 / $1,510.61 / $2,858.60	Professional		$959.34	$1,510.61	$2,858.60