Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,143.55 / $3,996.00 / $10,296.00	Facility		$1,143.55	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $764.97 / $1,155.18 / $1,822.48	Professional		$764.97	$1,155.18	$1,822.48
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 $774.04 / $1,011.82 / $2,310.00	Professional		$774.04	$1,011.82	$2,310.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,338.40 / $1,338.40 / $37,499.62	Facility		$1,338.40	$1,338.40	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,338.40 / $1,338.40 / $1,338.40	Professional		$1,338.40	$1,338.40	$1,338.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,078.61 / $1,078.61 / $7,227.90	Facility		$1,078.61	$1,078.61	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $879.78 / $1,680.10 / $3,698.86	Professional		$879.78	$1,680.10	$3,698.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,100.00 / $2,426.38	Facility		$319.00	$1,100.00	$2,426.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,078.39 / $1,287.56 / $1,926.89	Professional		$1,078.39	$1,287.56	$1,926.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $736.13 / $1,154.35 / $1,715.60	Professional		$736.13	$1,154.35	$1,715.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,078.61 / $7,227.90	Facility		$555.00	$1,078.61	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $974.40 / $1,606.80 / $3,421.39	Professional		$974.40	$1,606.80	$3,421.39
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 $823.38 / $1,189.46 / $2,964.93	Professional		$823.38	$1,189.46	$2,964.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,225.43 / $1,225.43 / $3,285.54	Facility		$1,225.43	$1,225.43	$3,285.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $736.13 / $1,225.43 / $2,001.56	Professional		$736.13	$1,225.43	$2,001.56