Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,410.19 / $4,629.00 / $10,321.00	Facility		$1,410.19	$4,629.00	$10,321.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.31 / $1,449.94 / $2,692.30	Professional		$805.31	$1,449.94	$2,692.30
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 $919.50 / $1,201.97 / $2,704.02	Professional		$919.50	$1,201.97	$2,704.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,695.58 / $1,695.58 / $37,499.62	Facility		$1,695.58	$1,695.58	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,695.58 / $1,695.58 / $1,695.58	Professional		$1,695.58	$1,695.58	$1,695.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,357.00 / $1,357.00 / $7,227.90	Facility		$1,357.00	$1,357.00	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $837.87 / $1,843.69 / $4,292.71	Professional		$837.87	$1,843.69	$4,292.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,287.09 / $3,150.34	Facility		$319.00	$1,287.09	$3,150.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,400.15 / $1,637.78 / $2,451.02	Professional		$1,400.15	$1,637.78	$2,451.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $809.57 / $1,311.06 / $2,225.52	Professional		$809.57	$1,311.06	$2,225.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,357.00 / $7,227.90	Facility		$555.00	$1,357.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $924.69 / $1,908.13 / $4,284.35	Professional		$924.69	$1,908.13	$4,284.35
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 $1,011.17 / $1,460.33 / $3,495.04	Professional		$1,011.17	$1,460.33	$3,495.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,311.06 / $1,311.06 / $2,881.48	Facility		$1,311.06	$1,311.06	$2,881.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $809.57 / $1,506.83 / $2,851.45	Professional		$809.57	$1,506.83	$2,851.45