Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,083.90 / $3,996.00 / $10,296.00	Facility		$1,083.90	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.25 / $1,093.16 / $1,726.45	Professional		$703.25	$1,093.16	$1,726.45
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 $732.96 / $958.12 / $2,160.67	Professional		$732.96	$958.12	$2,160.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,268.17 / $1,268.17 / $37,499.62	Facility		$1,268.17	$1,268.17	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,268.17 / $1,268.17 / $1,268.17	Professional		$1,268.17	$1,268.17	$1,268.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,021.75 / $1,021.75 / $7,227.90	Facility		$1,021.75	$1,021.75	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $833.90 / $1,551.00 / $3,507.46	Professional		$833.90	$1,551.00	$3,507.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,000.00 / $2,298.53	Facility		$319.00	$1,000.00	$2,298.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,021.57 / $1,219.68 / $1,825.32	Professional		$1,021.57	$1,219.68	$1,825.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $687.45 / $1,093.50 / $1,626.07	Professional		$687.45	$1,093.50	$1,626.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,021.75 / $7,227.90	Facility		$555.00	$1,021.75	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $922.05 / $1,522.14 / $3,238.52	Professional		$922.05	$1,522.14	$3,238.52
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 $783.93 / $1,097.00 / $2,977.06	Professional		$783.93	$1,097.00	$2,977.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,161.48 / $1,161.48 / $3,108.88	Facility		$1,161.48	$1,161.48	$3,108.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $687.45 / $1,161.48 / $1,897.11	Professional		$687.45	$1,161.48	$1,897.11