Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,337.75 / $4,043.00 / $9,868.00	Facility		$1,337.75	$4,043.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $985.43 / $1,216.47 / $2,156.15	Professional		$985.43	$1,216.47	$2,156.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,922.00 / $11,208.00	Facility		$3,283.00	$4,922.00	$11,208.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $900.94 / $1,115.05 / $2,526.11	Professional		$900.94	$1,115.05	$2,526.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,572.95 / $1,572.95 / $37,499.62	Facility		$1,572.95	$1,572.95	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,572.95 / $1,572.95 / $1,572.95	Professional		$1,572.95	$1,572.95	$1,572.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,259.90 / $1,259.90 / $7,227.90	Facility		$1,259.90	$1,259.90	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.86 / $1,619.27 / $4,109.93	Professional		$855.86	$1,619.27	$4,109.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,108.00 / $2,994.82	Facility		$332.00	$1,108.00	$2,994.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,197.93 / $1,537.99 / $2,302.67	Professional		$1,197.93	$1,537.99	$2,302.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,029.94 / $1,029.94 / $1,029.94	Facility		$1,029.94	$1,029.94	$1,029.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $821.28 / $1,314.73 / $2,040.46	Professional		$821.28	$1,314.73	$2,040.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,259.90 / $7,227.90	Facility		$597.00	$1,259.90	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $867.74 / $1,567.78 / $3,790.64	Professional		$867.74	$1,567.78	$3,790.64
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 $933.79 / $1,372.17 / $3,068.36	Professional		$933.79	$1,372.17	$3,068.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,314.73 / $1,314.73 / $3,120.65	Facility		$1,314.73	$1,314.73	$3,120.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $821.28 / $1,474.52 / $2,795.01	Professional		$821.28	$1,474.52	$2,795.01