Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,443.63 / $3,599.00 / $9,868.00	Facility		$1,443.63	$3,599.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,022.59 / $1,443.63 / $2,924.69	Professional		$1,022.59	$1,443.63	$2,924.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,574.00 / $7,688.00 / $14,242.23	Facility		$4,574.00	$7,688.00	$14,242.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $999.54 / $1,306.58 / $3,075.82	Professional		$999.54	$1,306.58	$3,075.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,716.37 / $1,716.37 / $37,499.62	Facility		$1,716.37	$1,716.37	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,716.37 / $1,716.37 / $1,716.37	Professional		$1,716.37	$1,716.37	$1,716.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,388.58 / $1,388.58 / $7,227.90	Facility		$1,388.58	$1,388.58	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,219.58 / $2,259.55 / $4,528.92	Professional		$1,219.58	$2,259.55	$4,528.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,293.58 / $3,253.28	Facility		$319.00	$1,293.58	$3,253.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,422.95 / $1,624.73 / $2,501.41	Professional		$1,422.95	$1,624.73	$2,501.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $976.29 / $1,136.40 / $2,227.25	Professional		$976.29	$1,136.40	$2,227.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,388.58 / $8,498.00	Facility		$597.00	$1,388.58	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,264.78 / $2,162.19 / $4,615.06	Professional		$1,264.78	$2,162.19	$4,615.06
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 $1,072.71 / $1,594.83 / $3,999.86	Professional		$1,072.71	$1,594.83	$3,999.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,298.55 / $1,298.55 / $3,629.92	Facility		$1,298.55	$1,298.55	$3,629.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,003.04 / $1,492.45 / $2,824.24	Professional		$1,003.04	$1,492.45	$2,824.24