Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,532.21 / $5,824.00 / $13,407.00	Facility		$1,532.21	$5,824.00	$13,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $990.27 / $1,479.97 / $2,326.92	Professional		$990.27	$1,479.97	$2,326.92
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 $992.09 / $1,296.85 / $2,953.58	Professional		$992.09	$1,296.85	$2,953.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,715.51 / $1,715.51 / $37,499.62	Facility		$1,715.51	$1,715.51	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,715.51 / $1,715.51 / $1,715.51	Professional		$1,715.51	$1,715.51	$1,715.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.52 / $1,380.52 / $39,142.00	Facility		$1,380.52	$1,380.52	$39,142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.65 / $2,084.98 / $4,738.75	Professional		$1,052.65	$2,084.98	$4,738.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,335.00 / $3,097.98	Facility		$319.00	$1,335.00	$3,097.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,376.88 / $1,645.71 / $2,462.88	Professional		$1,376.88	$1,645.71	$2,462.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $949.05 / $1,475.47 / $2,194.42	Professional		$949.05	$1,475.47	$2,194.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,380.52 / $39,142.00	Facility		$597.00	$1,380.52	$39,142.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,052.65 / $2,001.55 / $4,387.84	Professional		$1,052.65	$2,001.55	$4,387.84
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 $1,064.25 / $1,550.45 / $4,173.14	Professional		$1,064.25	$1,550.45	$4,173.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,567.44 / $1,567.44 / $3,958.40	Facility		$1,567.44	$1,567.44	$3,958.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $949.05 / $1,567.44 / $2,560.19	Professional		$949.05	$1,567.44	$2,560.19