Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,340.75 / $3,599.00 / $9,038.00	Facility		$1,340.75	$3,599.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $979.02 / $1,255.41 / $2,142.67	Professional		$979.02	$1,255.41	$2,142.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,085.00 / $8,281.00	Facility		$2,373.00	$4,085.00	$8,281.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $811.13 / $1,007.29 / $2,454.50	Professional		$811.13	$1,007.29	$2,454.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,551.25 / $1,716.00 / $6,213.00	Facility		$1,551.25	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,551.25 / $1,551.25 / $1,551.25	Professional		$1,551.25	$1,551.25	$1,551.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,246.93 / $1,246.93 / $4,612.43	Facility		$1,246.93	$1,246.93	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $859.63 / $1,590.63 / $3,858.37	Professional		$859.63	$1,590.63	$3,858.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $985.00 / $2,852.66	Facility		$332.00	$985.00	$2,852.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,141.07 / $1,497.44 / $2,241.00	Professional		$1,141.07	$1,497.44	$2,241.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $639.45 / $639.45 / $1,032.72	Facility		$639.45	$639.45	$1,032.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.31 / $1,267.92 / $2,049.85	Professional		$831.31	$1,267.92	$2,049.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,246.93 / $4,612.43	Facility		$597.00	$1,246.93	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $931.91 / $1,568.33 / $3,682.59	Professional		$931.91	$1,568.33	$3,682.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $4,893.00 / $11,176.00	Facility		$1,693.00	$4,893.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $874.23 / $1,312.52 / $3,130.89	Professional		$874.23	$1,312.52	$3,130.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,032.72 / $1,320.78 / $3,590.87	Facility		$1,032.72	$1,320.78	$3,590.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $831.31 / $1,481.30 / $2,807.86	Professional		$831.31	$1,481.30	$2,807.86