Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,250.98 / $3,100.00 / $10,170.00	Facility		$1,250.98	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $955.49 / $1,251.08 / $2,210.77	Professional		$955.49	$1,251.08	$2,210.77
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 $823.56 / $1,022.72 / $2,408.50	Professional		$823.56	$1,022.72	$2,408.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,440.13 / $1,440.13 / $37,499.62	Facility		$1,440.13	$1,440.13	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,440.13 / $1,440.13 / $1,440.13	Professional		$1,440.13	$1,440.13	$1,440.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,175.30 / $1,175.30 / $7,227.90	Facility		$1,175.30	$1,175.30	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $822.83 / $1,574.36 / $3,605.53	Professional		$822.83	$1,574.36	$3,605.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,010.85 / $2,695.01	Facility		$332.00	$1,010.85	$2,695.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,184.93 / $1,430.53 / $2,107.61	Professional		$1,184.93	$1,430.53	$2,107.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $971.25 / $971.25 / $971.25	Facility		$971.25	$971.25	$971.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $777.00 / $1,243.27 / $1,929.56	Professional		$777.00	$1,243.27	$1,929.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,175.30 / $7,227.90	Facility		$597.00	$1,175.30	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $972.74 / $1,470.99 / $3,467.46	Professional		$972.74	$1,470.99	$3,467.46
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 $831.66 / $1,174.42 / $2,879.01	Professional		$831.66	$1,174.42	$2,879.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,243.27 / $1,243.27 / $3,529.72	Facility		$1,243.27	$1,243.27	$3,529.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $777.00 / $1,394.38 / $2,643.10	Professional		$777.00	$1,394.38	$2,643.10