Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.19 / $4,905.00 / $10,965.00	Facility		$1,159.19	$4,905.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.52 / $1,131.86 / $1,946.76	Professional		$853.52	$1,131.86	$1,946.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $4,838.00 / $11,446.00	Facility		$3,248.00	$4,838.00	$11,446.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $779.10 / $967.51 / $2,182.66	Professional		$779.10	$967.51	$2,182.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,353.37 / $1,353.37 / $10,957.50	Facility		$1,353.37	$1,353.37	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,353.37 / $1,353.37 / $1,353.37	Professional		$1,353.37	$1,353.37	$1,353.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,094.99 / $1,094.99 / $7,227.90	Facility		$1,094.99	$1,094.99	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $790.36 / $1,430.09 / $3,563.97	Professional		$790.36	$1,430.09	$3,563.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $993.30 / $2,591.84	Facility		$332.00	$993.30	$2,591.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,036.74 / $1,330.66 / $1,992.84	Professional		$1,036.74	$1,330.66	$1,992.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $890.91 / $890.91 / $890.91	Facility		$890.91	$890.91	$890.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $732.40 / $1,139.27 / $1,768.14	Professional		$732.40	$1,139.27	$1,768.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,094.99 / $7,227.90	Facility		$597.00	$1,094.99	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $906.59 / $1,398.19 / $3,309.93	Professional		$906.59	$1,398.19	$3,309.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,694.00 / $4,893.00 / $11,176.00	Facility		$1,694.00	$4,893.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $806.38 / $1,143.45 / $2,656.95	Professional		$806.38	$1,143.45	$2,656.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,139.27 / $1,139.27 / $3,402.05	Facility		$1,139.27	$1,139.27	$3,402.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $732.40 / $1,277.73 / $2,421.98	Professional		$732.40	$1,277.73	$2,421.98