Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,235.95 / $4,828.00 / $10,965.00	Facility		$1,235.95	$4,828.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $940.04 / $1,121.33 / $2,405.44	Professional		$940.04	$1,121.33	$2,405.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.00 / $8,007.00 / $16,083.00	Facility		$4,583.00	$8,007.00	$16,083.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $756.55 / $974.94 / $2,486.05	Professional		$756.55	$974.94	$2,486.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,441.07 / $2,390.00 / $10,957.50	Facility		$1,441.07	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,441.07 / $1,441.07 / $1,441.07	Professional		$1,441.07	$1,441.07	$1,441.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,165.20 / $1,165.20 / $6,511.02	Facility		$1,165.20	$1,165.20	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $844.59 / $1,829.24 / $3,834.56	Professional		$844.59	$1,829.24	$3,834.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,103.69 / $2,769.77	Facility		$319.00	$1,103.69	$2,769.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,214.06 / $1,381.50 / $2,129.65	Professional		$1,214.06	$1,381.50	$2,129.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $827.85 / $1,088.50 / $2,026.96	Professional		$827.85	$1,088.50	$2,026.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,165.20 / $6,511.02	Facility		$555.00	$1,165.20	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $877.98 / $1,829.24 / $3,834.56	Professional		$877.98	$1,829.24	$3,834.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $906.48 / $1,337.89 / $3,061.91	Professional		$906.48	$1,337.89	$3,061.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,088.50 / $1,088.50 / $3,123.72	Facility		$1,088.50	$1,088.50	$3,123.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $864.85 / $1,266.09 / $2,395.90	Professional		$864.85	$1,266.09	$2,395.90