Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,448.21 / $3,996.00 / $10,296.00	Facility		$1,448.21	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,065.85 / $1,473.77 / $2,494.73	Professional		$1,065.85	$1,473.77	$2,494.73
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 $979.15 / $1,279.94 / $2,923.68	Professional		$979.15	$1,279.94	$2,923.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,689.92 / $1,689.92 / $37,499.62	Facility		$1,689.92	$1,689.92	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,689.92 / $1,689.92 / $1,689.92	Professional		$1,689.92	$1,689.92	$1,689.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,376.12 / $1,376.12 / $7,227.90	Facility		$1,376.12	$1,376.12	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.36 / $2,089.94 / $4,670.84	Professional		$1,058.36	$2,089.94	$4,670.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,952.00 / $3,123.20	Facility		$319.00	$1,952.00	$3,123.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,342.59 / $1,604.60 / $2,401.37	Professional		$1,342.59	$1,604.60	$2,401.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $919.76 / $1,323.56 / $2,179.98	Professional		$919.76	$1,323.56	$2,179.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,376.12 / $7,227.90	Facility		$555.00	$1,376.12	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,235.18 / $2,021.69 / $4,381.10	Professional		$1,235.18	$2,021.69	$4,381.10
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 $956.53 / $1,399.66 / $3,393.22	Professional		$956.53	$1,399.66	$3,393.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,557.13 / $1,557.13 / $4,146.14	Facility		$1,557.13	$1,557.13	$4,146.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $919.76 / $1,476.78 / $2,543.35	Professional		$919.76	$1,476.78	$2,543.35