Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,363.51 / $5,202.00 / $11,396.00	Facility		$1,363.51	$5,202.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $921.29 / $1,253.96 / $2,221.96	Professional		$921.29	$1,253.96	$2,221.96
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 $821.13 / $1,058.16 / $2,594.92	Professional		$821.13	$1,058.16	$2,594.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,574.44 / $2,644.00 / $12,319.50	Facility		$1,574.44	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,574.44 / $1,574.44 / $1,574.44	Professional		$1,574.44	$1,574.44	$1,574.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,247.46 / $1,247.46 / $7,289.38	Facility		$1,247.46	$1,247.46	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.35 / $1,740.81 / $3,994.42	Professional		$796.35	$1,740.81	$3,994.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,171.69 / $2,866.12	Facility		$319.00	$1,171.69	$2,866.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,273.83 / $1,484.51 / $2,221.65	Professional		$1,273.83	$1,484.51	$2,221.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $827.33 / $1,024.70 / $2,043.23	Professional		$827.33	$1,024.70	$2,043.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,247.46 / $7,289.38	Facility		$555.00	$1,247.46	$7,289.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $871.27 / $1,752.21 / $3,838.45	Professional		$871.27	$1,752.21	$3,838.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,736.00 / $5,547.00 / $11,831.32	Facility		$2,736.00	$5,547.00	$11,831.32
United Facility/Professional Professional Modifier Low / Median / High Price $880.67 / $1,341.54 / $2,972.93	Professional		$880.67	$1,341.54	$2,972.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,203.68 / $1,203.68 / $2,928.90	Facility		$1,203.68	$1,203.68	$2,928.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $827.33 / $1,383.41 / $2,617.90	Professional		$827.33	$1,383.41	$2,617.90