Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,299.09 / $3,100.00 / $10,170.00	Facility		$1,299.09	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $953.95 / $1,284.52 / $2,140.12	Professional		$953.95	$1,284.52	$2,140.12
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 $889.67 / $1,104.83 / $2,502.46	Professional		$889.67	$1,104.83	$2,502.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,554.75 / $1,554.75 / $37,499.62	Facility		$1,554.75	$1,554.75	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,554.75 / $1,554.75 / $1,554.75	Professional		$1,554.75	$1,554.75	$1,554.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,252.98 / $1,252.98 / $7,227.90	Facility		$1,252.98	$1,252.98	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $914.16 / $1,634.24 / $4,069.95	Professional		$914.16	$1,634.24	$4,069.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,098.30 / $2,958.89	Facility		$332.00	$1,098.30	$2,958.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,183.55 / $1,518.68 / $2,275.05	Professional		$1,183.55	$1,518.68	$2,275.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,016.41 / $1,016.41 / $1,016.41	Facility		$1,016.41	$1,016.41	$1,016.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $842.91 / $1,300.71 / $2,018.70	Professional		$842.91	$1,300.71	$2,018.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,252.98 / $7,227.90	Facility		$597.00	$1,252.98	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,067.80 / $1,589.45 / $3,796.50	Professional		$1,067.80	$1,589.45	$3,796.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,422.00 / $4,114.00 / $7,446.00	Facility		$1,422.00	$4,114.00	$7,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $927.79 / $1,309.96 / $2,968.89	Professional		$927.79	$1,309.96	$2,968.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,300.71 / $1,300.71 / $3,772.68	Facility		$1,300.71	$1,300.71	$3,772.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $842.91 / $1,365.04 / $2,765.19	Professional		$842.91	$1,365.04	$2,765.19