Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.23 / $4,442.00 / $10,024.00	Facility		$1,169.23	$4,442.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.33 / $1,126.99 / $1,847.42	Professional		$819.33	$1,126.99	$1,847.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,697.00	Facility		$4,100.00	$7,264.00	$12,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $693.81 / $896.59 / $2,252.96	Professional		$693.81	$896.59	$2,252.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,302.96 / $1,302.96 / $37,499.62	Facility		$1,302.96	$1,302.96	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,302.96 / $1,302.96 / $1,302.96	Professional		$1,302.96	$1,302.96	$1,302.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,051.40 / $1,051.40 / $7,227.90	Facility		$1,051.40	$1,051.40	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $861.31 / $1,599.78 / $3,602.09	Professional		$861.31	$1,599.78	$3,602.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,100.00 / $2,366.82	Facility		$319.00	$1,100.00	$2,366.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,051.92 / $1,255.84 / $1,879.44	Professional		$1,051.92	$1,255.84	$1,879.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.86 / $1,125.93 / $1,673.06	Professional		$711.86	$1,125.93	$1,673.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,051.40 / $7,227.90	Facility		$555.00	$1,051.40	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $946.54 / $1,567.36 / $3,325.51	Professional		$946.54	$1,567.36	$3,325.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $800.08 / $1,156.73 / $2,881.42	Professional		$800.08	$1,156.73	$2,881.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,195.04 / $1,195.04 / $3,205.32	Facility		$1,195.04	$1,195.04	$3,205.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $711.86 / $1,195.04 / $1,951.93	Professional		$711.86	$1,195.04	$1,951.93