Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,271.84 / $3,100.00 / $10,170.00	Facility		$1,271.84	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $996.60 / $1,274.71 / $2,255.07	Professional		$996.60	$1,274.71	$2,255.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,869.00	Facility		$4,100.00	$7,264.00	$12,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $868.86 / $1,078.98 / $2,473.79	Professional		$868.86	$1,078.98	$2,473.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,493.36 / $1,493.36 / $37,499.62	Facility		$1,493.36	$1,493.36	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,493.36 / $1,493.36 / $1,493.36	Professional		$1,493.36	$1,493.36	$1,493.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.13 / $1,207.13 / $7,227.90	Facility		$1,207.13	$1,207.13	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $863.61 / $1,636.32 / $3,907.47	Professional		$863.61	$1,636.32	$3,907.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,098.25 / $2,840.13	Facility		$332.00	$1,098.25	$2,840.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,136.05 / $1,470.40 / $2,183.73	Professional		$1,136.05	$1,470.40	$2,183.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $979.23 / $979.23 / $979.23	Facility		$979.23	$979.23	$979.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $855.04 / $1,253.06 / $1,944.75	Professional		$855.04	$1,253.06	$1,944.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,207.13 / $7,227.90	Facility		$597.00	$1,207.13	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,006.49 / $1,573.44 / $3,646.71	Professional		$1,006.49	$1,573.44	$3,646.71
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,020.04	Facility		$996.00	$4,194.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $897.25 / $1,275.63 / $2,914.07	Professional		$897.25	$1,275.63	$2,914.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,253.06 / $1,253.06 / $3,971.76	Facility		$1,253.06	$1,253.06	$3,971.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $881.80 / $1,405.36 / $2,663.91	Professional		$881.80	$1,405.36	$2,663.91