Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,404.68 / $4,392.00 / $10,296.00	Facility		$1,404.68	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $985.51 / $1,404.68 / $2,749.63	Professional		$985.51	$1,404.68	$2,749.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,268.00 / $12,869.00	Facility		$4,100.00	$7,268.00	$12,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $955.52 / $1,249.05 / $2,951.75	Professional		$955.52	$1,249.05	$2,951.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,675.22 / $1,675.22 / $37,499.62	Facility		$1,675.22	$1,675.22	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,675.22 / $1,675.22 / $1,675.22	Professional		$1,675.22	$1,675.22	$1,675.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,362.06 / $1,362.06 / $7,227.90	Facility		$1,362.06	$1,362.06	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.68 / $2,094.69 / $4,336.18	Professional		$932.68	$2,094.69	$4,336.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,447.00 / $3,106.40	Facility		$319.00	$1,447.00	$3,106.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.62 / $1,625.07 / $2,432.01	Professional		$1,380.62	$1,625.07	$2,432.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.06 / $1,300.15 / $2,229.98	Professional		$977.06	$1,300.15	$2,229.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,362.06 / $7,227.90	Facility		$555.00	$1,362.06	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,211.13 / $2,085.52 / $4,336.18	Professional		$1,211.13	$2,085.52	$4,336.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $997.07 / $1,501.11 / $3,545.14	Professional		$997.07	$1,501.11	$3,545.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,300.15 / $1,300.15 / $3,909.55	Facility		$1,300.15	$1,300.15	$3,909.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $991.08 / $1,494.29 / $2,827.72	Professional		$991.08	$1,494.29	$2,827.72