Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,377.76 / $4,792.00 / $10,526.00	Facility		$1,377.76	$4,792.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $983.85 / $1,353.98 / $2,857.17	Professional		$983.85	$1,353.98	$2,857.17
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 $851.13 / $1,112.59 / $2,680.37	Professional		$851.13	$1,112.59	$2,680.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,580.15 / $2,390.00 / $10,957.50	Facility		$1,580.15	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,580.15 / $1,580.15 / $1,580.15	Professional		$1,580.15	$1,580.15	$1,580.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.86 / $1,260.86 / $6,511.02	Facility		$1,260.86	$1,260.86	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.80 / $1,899.50 / $3,995.95	Professional		$840.80	$1,899.50	$3,995.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,187.81 / $2,908.01	Facility		$319.00	$1,187.81	$2,908.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,292.45 / $1,512.38 / $2,263.35	Professional		$1,292.45	$1,512.38	$2,263.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $916.06 / $1,043.02 / $2,069.21	Professional		$916.06	$1,043.02	$2,069.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,260.86 / $6,511.02	Facility		$555.00	$1,260.86	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $939.57 / $1,899.50 / $4,114.62	Professional		$939.57	$1,899.50	$4,114.62
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 $892.15 / $1,303.78 / $3,052.88	Professional		$892.15	$1,303.78	$3,052.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,218.98 / $1,218.98 / $3,452.56	Facility		$1,218.98	$1,218.98	$3,452.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $916.90 / $1,401.00 / $2,651.19	Professional		$916.90	$1,401.00	$2,651.19