Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.09 / $3,100.00 / $10,170.00	Facility		$1,316.09	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $986.83 / $1,316.09 / $2,505.02	Professional		$986.83	$1,316.09	$2,505.02
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 $898.68 / $1,116.01 / $2,526.23	Professional		$898.68	$1,116.01	$2,526.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,560.52 / $1,560.52 / $37,499.62	Facility		$1,560.52	$1,560.52	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,560.52 / $1,560.52 / $1,560.52	Professional		$1,560.52	$1,560.52	$1,560.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,269.05 / $1,269.05 / $7,227.90	Facility		$1,269.05	$1,269.05	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.62 / $1,655.35 / $4,121.43	Professional		$932.62	$1,655.35	$4,121.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,110.90 / $2,997.52	Facility		$332.00	$1,110.90	$2,997.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,199.01 / $1,538.45 / $2,304.76	Professional		$1,199.01	$1,538.45	$2,304.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,029.55 / $1,029.55 / $1,029.55	Facility		$1,029.55	$1,029.55	$1,029.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $855.15 / $1,317.30 / $2,044.45	Professional		$855.15	$1,317.30	$2,044.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,269.05 / $7,227.90	Facility		$597.00	$1,269.05	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,096.03 / $1,611.24 / $3,818.23	Professional		$1,096.03	$1,611.24	$3,818.23
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 $939.90 / $1,370.81 / $3,065.89	Professional		$939.90	$1,370.81	$3,065.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,317.30 / $1,317.30 / $3,842.00	Facility		$1,317.30	$1,317.30	$3,842.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $855.15 / $1,477.40 / $2,800.47	Professional		$855.15	$1,477.40	$2,800.47