Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,176.21 / $4,392.00 / $10,296.00	Facility		$1,176.21	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $830.89 / $1,163.09 / $2,337.88	Professional		$830.89	$1,163.09	$2,337.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,584.00 / $8,170.00 / $16,174.00	Facility		$4,584.00	$8,170.00	$16,174.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $806.67 / $1,054.48 / $2,485.29	Professional		$806.67	$1,054.48	$2,485.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,382.36 / $1,382.36 / $37,499.62	Facility		$1,382.36	$1,382.36	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,382.36 / $1,382.36 / $1,382.36	Professional		$1,382.36	$1,382.36	$1,382.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,118.05 / $1,118.05 / $7,227.90	Facility		$1,118.05	$1,118.05	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $980.10 / $1,809.81 / $3,645.96	Professional		$980.10	$1,809.81	$3,645.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,174.54 / $2,629.60	Facility		$319.00	$1,174.54	$2,629.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,151.43 / $1,313.95 / $2,021.87	Professional		$1,151.43	$1,313.95	$2,021.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $793.77 / $1,049.25 / $1,799.65	Professional		$793.77	$1,049.25	$1,799.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,118.05 / $7,227.90	Facility		$555.00	$1,118.05	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,018.08 / $1,760.73 / $3,645.96	Professional		$1,018.08	$1,760.73	$3,645.96
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 $867.07 / $1,233.47 / $3,045.38	Professional		$867.07	$1,233.47	$3,045.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,049.25 / $1,049.25 / $3,009.40	Facility		$1,049.25	$1,049.25	$3,009.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $822.79 / $1,205.92 / $2,282.03	Professional		$822.79	$1,205.92	$2,282.03