Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,420.77 / $4,683.00 / $10,526.00	Facility		$1,420.77	$4,683.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,013.37 / $1,425.42 / $2,599.88	Professional		$1,013.37	$1,425.42	$2,599.88
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 $893.23 / $1,151.58 / $2,781.88	Professional		$893.23	$1,151.58	$2,781.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,662.48 / $2,390.00 / $10,957.50	Facility		$1,662.48	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,662.48 / $1,662.48 / $1,662.48	Professional		$1,662.48	$1,662.48	$1,662.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,324.25 / $1,324.25 / $6,511.02	Facility		$1,324.25	$1,324.25	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $871.27 / $1,940.45 / $4,210.70	Professional		$871.27	$1,940.45	$4,210.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,246.02 / $3,050.01	Facility		$319.00	$1,246.02	$3,050.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,355.56 / $1,584.30 / $2,370.98	Professional		$1,355.56	$1,584.30	$2,370.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $931.88 / $1,279.65 / $2,172.19	Professional		$931.88	$1,279.65	$2,172.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,324.25 / $6,511.02	Facility		$555.00	$1,324.25	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $946.56 / $1,940.45 / $4,239.04	Professional		$946.56	$1,940.45	$4,239.04
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 $944.06 / $1,430.39 / $3,661.64	Professional		$944.06	$1,430.39	$3,661.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,279.65 / $1,279.65 / $3,479.20	Facility		$1,279.65	$1,279.65	$3,479.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $931.88 / $1,470.73 / $2,783.13	Professional		$931.88	$1,470.73	$2,783.13