Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,243.75 / $3,996.00 / $10,296.00	Facility		$1,243.75	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.42 / $1,255.94 / $1,978.96	Professional		$836.42	$1,255.94	$1,978.96
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 $842.41 / $1,101.19 / $2,508.64	Professional		$842.41	$1,101.19	$2,508.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,455.16 / $1,455.16 / $37,499.62	Facility		$1,455.16	$1,455.16	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,455.16 / $1,455.16 / $1,455.16	Professional		$1,455.16	$1,455.16	$1,455.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.29 / $1,172.29 / $7,227.90	Facility		$1,172.29	$1,172.29	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $935.97 / $1,780.28 / $4,019.89	Professional		$935.97	$1,780.28	$4,019.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,490.00 / $2,634.71	Facility		$319.00	$1,490.00	$2,634.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,170.98 / $1,399.06 / $2,093.77	Professional		$1,170.98	$1,399.06	$2,093.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.14 / $1,254.33 / $1,863.85	Professional		$800.14	$1,254.33	$1,863.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,172.29 / $7,227.90	Facility		$555.00	$1,172.29	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,060.42 / $1,744.76 / $3,723.88	Professional		$1,060.42	$1,744.76	$3,723.88
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 $881.41 / $1,294.66 / $3,092.58	Professional		$881.41	$1,294.66	$3,092.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,331.32 / $1,331.32 / $3,575.26	Facility		$1,331.32	$1,331.32	$3,575.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $800.14 / $1,331.32 / $2,174.52	Professional		$800.14	$1,331.32	$2,174.52