Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,425.75 / $3,996.00 / $10,296.00	Facility		$1,425.75	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $964.09 / $1,441.76 / $2,266.56	Professional		$964.09	$1,441.76	$2,266.56
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 $967.05 / $1,264.13 / $2,873.91	Professional		$967.05	$1,264.13	$2,873.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,670.21 / $1,670.21 / $37,499.62	Facility		$1,670.21	$1,670.21	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,670.21 / $1,670.21 / $1,670.21	Professional		$1,670.21	$1,670.21	$1,670.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,344.66 / $1,344.66 / $7,227.90	Facility		$1,344.66	$1,344.66	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,024.66 / $2,098.46 / $4,610.24	Professional		$1,024.66	$2,098.46	$4,610.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,865.00 / $3,017.61	Facility		$319.00	$1,865.00	$3,017.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,341.16 / $1,602.74 / $2,398.59	Professional		$1,341.16	$1,602.74	$2,398.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $923.16 / $1,436.94 / $2,135.86	Professional		$923.16	$1,436.94	$2,135.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,344.66 / $7,227.90	Facility		$555.00	$1,344.66	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,216.72 / $1,998.33 / $4,271.29	Professional		$1,216.72	$1,998.33	$4,271.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $3,988.00 / $8,133.00	Facility		$1,479.00	$3,988.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,039.08 / $1,485.49 / $4,161.79	Professional		$1,039.08	$1,485.49	$4,161.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,525.61 / $1,525.61 / $4,107.03	Facility		$1,525.61	$1,525.61	$4,107.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $923.16 / $1,525.61 / $2,491.88	Professional		$923.16	$1,525.61	$2,491.88