Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,182.96 / $3,996.00 / $10,296.00	Facility		$1,182.96	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.09 / $1,267.58 / $1,883.56	Professional		$792.09	$1,267.58	$1,883.56
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 $801.05 / $1,047.13 / $2,434.42	Professional		$801.05	$1,047.13	$2,434.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,385.27 / $1,385.27 / $37,499.62	Facility		$1,385.27	$1,385.27	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,385.27 / $1,385.27 / $1,385.27	Professional		$1,385.27	$1,385.27	$1,385.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,116.06 / $1,116.06 / $7,227.90	Facility		$1,116.06	$1,116.06	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $919.19 / $1,739.81 / $3,828.36	Professional		$919.19	$1,739.81	$3,828.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,100.00 / $2,507.69	Facility		$319.00	$1,100.00	$2,507.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,114.53 / $1,331.68 / $1,992.93	Professional		$1,114.53	$1,331.68	$1,992.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $771.34 / $1,077.75 / $1,775.11	Professional		$771.34	$1,077.75	$1,775.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,116.06 / $7,227.90	Facility		$555.00	$1,116.06	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,008.03 / $1,683.93 / $3,608.95	Professional		$1,008.03	$1,683.93	$3,608.95
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 $851.39 / $1,225.00 / $3,159.09	Professional		$851.39	$1,225.00	$3,159.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,267.94 / $1,267.94 / $3,400.62	Facility		$1,267.94	$1,267.94	$3,400.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $771.34 / $1,220.95 / $2,070.98	Professional		$771.34	$1,220.95	$2,070.98