Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,197.09 / $4,905.00 / $12,051.00	Facility		$1,197.09	$4,905.00	$12,051.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $874.85 / $1,045.77 / $1,956.63	Professional		$874.85	$1,045.77	$1,956.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $6,992.00 / $12,173.00	Facility		$4,070.00	$6,992.00	$12,173.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $808.65 / $993.63 / $2,163.00	Professional		$808.65	$993.63	$2,163.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,408.60 / $1,408.60 / $12,319.50	Facility		$1,408.60	$1,408.60	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,408.60 / $1,408.60 / $1,408.60	Professional		$1,408.60	$1,408.60	$1,408.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,110.75 / $1,110.75 / $7,289.38	Facility		$1,110.75	$1,110.75	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $759.66 / $1,436.20 / $3,471.92	Professional		$759.66	$1,436.20	$3,471.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $885.00 / $2,604.98	Facility		$332.00	$885.00	$2,604.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,041.99 / $1,349.94 / $2,002.94	Professional		$1,041.99	$1,349.94	$2,002.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $920.09 / $920.09 / $1,522.50	Facility		$920.09	$920.09	$1,522.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.69 / $1,168.66 / $1,813.76	Professional		$794.69	$1,168.66	$1,813.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,110.75 / $16,269.00	Facility		$597.00	$1,110.75	$16,269.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $930.00 / $1,424.20 / $3,319.33	Professional		$930.00	$1,424.20	$3,319.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,547.00 / $13,746.00	Facility		$2,160.00	$5,547.00	$13,746.00
United Facility/Professional Professional Modifier Low / Median / High Price $822.97 / $1,133.15 / $2,572.10	Professional		$822.97	$1,133.15	$2,572.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,168.66 / $1,168.66 / $4,211.95	Facility		$1,168.66	$1,168.66	$4,211.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $837.11 / $1,310.69 / $2,484.46	Professional		$837.11	$1,310.69	$2,484.46