Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,165.10 / $3,951.00 / $10,170.00	Facility		$1,165.10	$3,951.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.39 / $1,165.10 / $2,450.61	Professional		$851.39	$1,165.10	$2,450.61
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 $777.69 / $1,016.60 / $2,305.32	Professional		$777.69	$1,016.60	$2,305.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,361.83 / $1,361.83 / $37,499.62	Facility		$1,361.83	$1,361.83	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,361.83 / $1,361.83 / $1,361.83	Professional		$1,361.83	$1,361.83	$1,361.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,074.50 / $1,074.50 / $7,227.90	Facility		$1,074.50	$1,074.50	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.38 / $1,668.72 / $3,773.48	Professional		$892.38	$1,668.72	$3,773.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,000.00 / $2,417.78	Facility		$319.00	$1,000.00	$2,417.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,074.57 / $1,283.02 / $1,920.10	Professional		$1,074.57	$1,283.02	$1,920.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $730.66 / $1,037.92 / $1,709.52	Professional		$730.66	$1,037.92	$1,709.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,074.50 / $7,227.90	Facility		$555.00	$1,074.50	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $990.77 / $1,605.73 / $3,491.96	Professional		$990.77	$1,605.73	$3,491.96
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 $774.18 / $1,198.13 / $3,119.61	Professional		$774.18	$1,198.13	$3,119.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,221.08 / $1,221.08 / $3,299.43	Facility		$1,221.08	$1,221.08	$3,299.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $730.66 / $1,175.83 / $1,994.46	Professional		$730.66	$1,175.83	$1,994.46