Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,193.50 / $4,392.00 / $10,296.00	Facility		$1,193.50	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $857.64 / $1,179.91 / $2,372.80	Professional		$857.64	$1,179.91	$2,372.80
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 $818.49 / $1,069.93 / $2,514.23	Professional		$818.49	$1,069.93	$2,514.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,403.29 / $1,403.29 / $37,499.62	Facility		$1,403.29	$1,403.29	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,403.29 / $1,403.29 / $1,403.29	Professional		$1,403.29	$1,403.29	$1,403.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,134.58 / $1,134.58 / $7,227.90	Facility		$1,134.58	$1,134.58	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $994.23 / $1,832.42 / $3,701.92	Professional		$994.23	$1,832.42	$3,701.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,148.00 / $2,665.24	Facility		$319.00	$1,148.00	$2,665.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,167.24 / $1,332.36 / $2,049.27	Professional		$1,167.24	$1,332.36	$2,049.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $805.61 / $1,064.58 / $1,825.94	Professional		$805.61	$1,064.58	$1,825.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,134.58 / $7,227.90	Facility		$555.00	$1,134.58	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,032.66 / $1,818.32 / $3,701.92	Professional		$1,032.66	$1,818.32	$3,701.92
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 $878.82 / $1,274.04 / $3,089.92	Professional		$878.82	$1,274.04	$3,089.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,064.58 / $1,064.58 / $3,093.18	Facility		$1,064.58	$1,064.58	$3,093.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $848.13 / $1,223.54 / $2,315.37	Professional		$848.13	$1,223.54	$2,315.37