Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,283.63 / $3,996.00 / $10,296.00	Facility		$1,283.63	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.33 / $1,314.59 / $2,190.05	Professional		$759.33	$1,314.59	$2,190.05
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 $878.99 / $1,149.01 / $2,625.16	Professional		$878.99	$1,149.01	$2,625.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,524.24 / $1,524.24 / $37,499.62	Facility		$1,524.24	$1,524.24	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,524.24 / $1,524.24 / $1,524.24	Professional		$1,524.24	$1,524.24	$1,524.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.10 / $1,232.10 / $7,227.90	Facility		$1,232.10	$1,232.10	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.95 / $1,930.02 / $4,257.12	Professional		$1,041.95	$1,930.02	$4,257.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,160.35 / $2,915.75	Facility		$319.00	$1,160.35	$2,915.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,276.40 / $1,453.58 / $2,241.89	Professional		$1,276.40	$1,453.58	$2,241.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $742.25 / $1,303.21 / $1,937.62	Professional		$742.25	$1,303.21	$1,937.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,232.10 / $7,227.90	Facility		$555.00	$1,232.10	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,162.22 / $1,930.02 / $4,219.57	Professional		$1,162.22	$1,930.02	$4,219.57
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 $933.64 / $1,335.95 / $3,268.13	Professional		$933.64	$1,335.95	$3,268.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,384.01 / $1,384.01 / $3,662.47	Facility		$1,384.01	$1,384.01	$3,662.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $742.25 / $1,384.01 / $2,260.59	Professional		$742.25	$1,384.01	$2,260.59