Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,453.60 / $3,996.00 / $10,296.00	Facility		$1,453.60	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $969.08 / $1,469.98 / $2,308.21	Professional		$969.08	$1,469.98	$2,308.21
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 $986.47 / $1,289.51 / $2,929.01	Professional		$986.47	$1,289.51	$2,929.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,703.22 / $1,703.22 / $37,499.62	Facility		$1,703.22	$1,703.22	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,703.22 / $1,703.22 / $1,703.22	Professional		$1,703.22	$1,703.22	$1,703.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,370.87 / $1,370.87 / $7,227.90	Facility		$1,370.87	$1,370.87	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,043.93 / $2,086.02 / $4,700.75	Professional		$1,043.93	$2,086.02	$4,700.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,865.00 / $3,073.07	Facility		$319.00	$1,865.00	$3,073.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,365.81 / $1,633.38 / $2,444.44	Professional		$1,365.81	$1,633.38	$2,444.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $908.96 / $1,464.41 / $2,177.29	Professional		$908.96	$1,464.41	$2,177.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,370.87 / $7,227.90	Facility		$555.00	$1,370.87	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,241.20 / $2,035.06 / $4,356.88	Professional		$1,241.20	$2,035.06	$4,356.88
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 $1,046.93 / $1,515.38 / $3,774.00	Professional		$1,046.93	$1,515.38	$3,774.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,555.20 / $1,555.20 / $4,189.12	Facility		$1,555.20	$1,555.20	$4,189.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $908.96 / $1,555.20 / $2,540.19	Professional		$908.96	$1,555.20	$2,540.19