Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.90 / $3,100.00 / $10,170.00	Facility		$1,121.90	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.35 / $1,121.90 / $1,927.80	Professional		$865.35	$1,121.90	$1,927.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.00 / $3,263.00 / $4,636.00	Facility		$1,651.00	$3,263.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $770.66 / $957.03 / $2,140.40	Professional		$770.66	$957.03	$2,140.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,339.38 / $1,339.38 / $10,957.50	Facility		$1,339.38	$1,339.38	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,339.38 / $1,339.38 / $1,339.38	Professional		$1,339.38	$1,339.38	$1,339.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,082.58 / $1,082.58 / $7,227.90	Facility		$1,082.58	$1,082.58	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $798.73 / $1,413.92 / $3,594.97	Professional		$798.73	$1,413.92	$3,594.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,367.00 / $2,566.60	Facility		$332.00	$1,367.00	$2,566.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,026.64 / $1,317.79 / $1,973.43	Professional		$1,026.64	$1,317.79	$1,973.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $882.33 / $882.33 / $882.33	Facility		$882.33	$882.33	$882.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $766.45 / $1,127.13 / $1,749.31	Professional		$766.45	$1,127.13	$1,749.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,082.58 / $7,227.90	Facility		$597.00	$1,082.58	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $908.49 / $1,381.83 / $3,366.23	Professional		$908.49	$1,381.83	$3,366.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $798.58 / $1,117.51 / $2,858.70	Professional		$798.58	$1,117.51	$2,858.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,127.13 / $1,127.13 / $3,283.46	Facility		$1,127.13	$1,127.13	$3,283.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $772.89 / $1,264.11 / $2,396.19	Professional		$772.89	$1,264.11	$2,396.19