Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,180.76 / $5,700.00 / $10,965.00	Facility		$1,180.76	$5,700.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.90 / $1,158.00 / $1,454.46	Professional		$855.90	$1,158.00	$1,454.46
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 $692.83 / $860.38 / $1,426.05	Professional		$692.83	$860.38	$1,426.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,546.99 / $1,546.99 / $37,499.62	Facility		$1,546.99	$1,546.99	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,546.99 / $1,546.99 / $1,546.99	Professional		$1,546.99	$1,546.99	$1,546.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,324.14 / $1,324.14 / $7,227.90	Facility		$1,324.14	$1,324.14	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $917.35 / $1,690.58 / $4,105.99	Professional		$917.35	$1,690.58	$4,105.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,966.33 / $4,800.00	Facility		$332.00	$2,966.33	$4,800.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,553.79 / $1,899.95 / $2,803.10	Professional		$1,553.79	$1,899.95	$2,803.10
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,291.75 / $1,291.75 / $1,291.75	Facility		$1,291.75	$1,291.75	$1,291.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,033.40 / $1,614.69 / $2,506.00	Professional		$1,033.40	$1,614.69	$2,506.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,324.14 / $7,227.90	Facility		$597.00	$1,324.14	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $917.35 / $1,826.66 / $4,105.99	Professional		$917.35	$1,826.66	$4,105.99
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 $1,013.33 / $1,493.68 / $3,481.96	Professional		$1,013.33	$1,493.68	$3,481.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,614.69 / $1,614.69 / $2,909.71	Facility		$1,614.69	$1,614.69	$2,909.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,033.40 / $1,810.94 / $3,413.19	Professional		$1,033.40	$1,810.94	$3,413.19