Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,291.72 / $3,100.00 / $10,170.00	Facility		$1,291.72	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $972.97 / $1,287.09 / $2,218.36	Professional		$972.97	$1,287.09	$2,218.36
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 $894.74 / $1,101.69 / $2,506.79	Professional		$894.74	$1,101.69	$2,506.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,554.35 / $1,554.35 / $37,499.62	Facility		$1,554.35	$1,554.35	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,554.35 / $1,554.35 / $1,554.35	Professional		$1,554.35	$1,554.35	$1,554.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,246.15 / $1,246.15 / $7,227.90	Facility		$1,246.15	$1,246.15	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $922.06 / $1,631.08 / $4,061.19	Professional		$922.06	$1,631.08	$4,061.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,014.00 / $2,953.44	Facility		$332.00	$1,014.00	$2,953.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,181.38 / $1,516.45 / $2,270.87	Professional		$1,181.38	$1,516.45	$2,270.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,015.14 / $1,015.14 / $1,015.14	Facility		$1,015.14	$1,015.14	$1,015.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $832.65 / $1,298.95 / $2,015.97	Professional		$832.65	$1,298.95	$2,015.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,246.15 / $7,227.90	Facility		$597.00	$1,246.15	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,050.10 / $1,580.26 / $3,750.68	Professional		$1,050.10	$1,580.26	$3,750.68
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 $916.40 / $1,274.40 / $2,986.11	Professional		$916.40	$1,274.40	$2,986.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,298.95 / $1,298.95 / $3,649.07	Facility		$1,298.95	$1,298.95	$3,649.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $832.65 / $1,456.83 / $2,761.47	Professional		$832.65	$1,456.83	$2,761.47