Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,164.71 / $3,100.00 / $10,170.00	Facility		$1,164.71	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.35 / $1,164.71 / $2,056.55	Professional		$880.35	$1,164.71	$2,056.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,975.00 / $11,448.00	Facility		$3,283.00	$4,975.00	$11,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $799.92 / $993.37 / $2,242.75	Professional		$799.92	$993.37	$2,242.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,377.60 / $1,377.60 / $37,499.62	Facility		$1,377.60	$1,377.60	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,377.60 / $1,377.60 / $1,377.60	Professional		$1,377.60	$1,377.60	$1,377.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,113.11 / $1,113.11 / $7,227.90	Facility		$1,113.11	$1,113.11	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.99 / $1,458.12 / $3,575.50	Professional		$814.99	$1,458.12	$3,575.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,438.00 / $2,590.34	Facility		$332.00	$1,438.00	$2,590.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,036.13 / $1,334.90 / $1,991.68	Professional		$1,036.13	$1,334.90	$1,991.68
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $908.05 / $908.05 / $908.05	Facility		$908.05	$908.05	$908.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $765.12 / $1,044.26 / $1,800.20	Professional		$765.12	$1,044.26	$1,800.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,113.11 / $7,227.90	Facility		$597.00	$1,113.11	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $1,410.96 / $3,337.26	Professional		$900.00	$1,410.96	$3,337.26
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 $811.72 / $1,151.26 / $2,873.99	Professional		$811.72	$1,151.26	$2,873.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,159.92 / $1,159.92 / $3,451.11	Facility		$1,159.92	$1,159.92	$3,451.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $765.12 / $1,300.90 / $2,465.91	Professional		$765.12	$1,300.90	$2,465.91