Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,123.66 / $3,996.00 / $10,296.00	Facility		$1,123.66	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.71 / $1,184.03 / $1,791.26	Professional		$825.71	$1,184.03	$1,791.26
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 $759.97 / $993.43 / $2,269.35	Professional		$759.97	$993.43	$2,269.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,314.53 / $1,314.53 / $37,499.62	Facility		$1,314.53	$1,314.53	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,314.53 / $1,314.53 / $1,314.53	Professional		$1,314.53	$1,314.53	$1,314.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,059.11 / $1,059.11 / $7,227.90	Facility		$1,059.11	$1,059.11	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.36 / $1,632.66 / $3,634.23	Professional		$864.36	$1,632.66	$3,634.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,100.00 / $2,384.82	Facility		$319.00	$1,100.00	$2,384.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,059.92 / $1,265.31 / $1,893.61	Professional		$1,059.92	$1,265.31	$1,893.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $708.74 / $1,134.42 / $1,685.18	Professional		$708.74	$1,134.42	$1,685.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,059.11 / $7,227.90	Facility		$555.00	$1,059.11	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $956.64 / $1,579.28 / $3,358.55	Professional		$956.64	$1,579.28	$3,358.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $819.25 / $1,167.95 / $3,087.54	Professional		$819.25	$1,167.95	$3,087.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,203.70 / $1,203.70 / $3,225.59	Facility		$1,203.70	$1,203.70	$3,225.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $708.74 / $1,203.70 / $1,966.07	Professional		$708.74	$1,203.70	$1,966.07