Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,371.05 / $4,043.00 / $10,296.00	Facility		$1,371.05	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $922.32 / $1,392.36 / $2,177.90	Professional		$922.32	$1,392.36	$2,177.90
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 $929.91 / $1,215.58 / $2,765.57	Professional		$929.91	$1,215.58	$2,765.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,606.28 / $1,606.28 / $37,499.62	Facility		$1,606.28	$1,606.28	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,606.28 / $1,606.28 / $1,606.28	Professional		$1,606.28	$1,606.28	$1,606.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,293.49 / $1,293.49 / $7,227.90	Facility		$1,293.49	$1,293.49	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $984.46 / $1,967.78 / $4,434.72	Professional		$984.46	$1,967.78	$4,434.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,490.00 / $2,899.58	Facility		$319.00	$1,490.00	$2,899.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.70 / $1,541.03 / $2,306.23	Professional		$1,288.70	$1,541.03	$2,306.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $883.25 / $1,381.62 / $2,055.07	Professional		$883.25	$1,381.62	$2,055.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,293.49 / $7,227.90	Facility		$555.00	$1,293.49	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,170.42 / $1,920.16 / $4,108.47	Professional		$1,170.42	$1,920.16	$4,108.47
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 $950.46 / $1,391.09 / $3,559.30	Professional		$950.46	$1,391.09	$3,559.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,467.91 / $1,467.91 / $3,946.57	Facility		$1,467.91	$1,467.91	$3,946.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $883.25 / $1,467.91 / $2,397.61	Professional		$883.25	$1,467.91	$2,397.61