Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,116.74 / $3,996.00 / $10,296.00	Facility		$1,116.74	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.39 / $1,188.81 / $1,954.55	Professional		$646.39	$1,188.81	$1,954.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $770.94 / $1,007.77 / $2,402.75	Professional		$770.94	$1,007.77	$2,402.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,342.33 / $1,342.33 / $37,499.62	Facility		$1,342.33	$1,342.33	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,342.33 / $1,342.33 / $1,342.33	Professional		$1,342.33	$1,342.33	$1,342.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,090.44 / $1,090.44 / $7,227.90	Facility		$1,090.44	$1,090.44	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $913.71 / $1,673.06 / $3,733.16	Professional		$913.71	$1,673.06	$3,733.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,443.00 / $2,602.21	Facility		$319.00	$1,443.00	$2,602.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,142.20 / $1,299.61 / $2,000.81	Professional		$1,142.20	$1,299.61	$2,000.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $639.79 / $1,165.18 / $1,727.80	Professional		$639.79	$1,165.18	$1,727.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,090.44 / $7,227.90	Facility		$555.00	$1,090.44	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $980.49 / $1,678.69 / $3,681.54	Professional		$980.49	$1,678.69	$3,681.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $3,988.00 / $8,133.00	Facility		$1,479.00	$3,988.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $796.28 / $1,211.81 / $3,036.53	Professional		$796.28	$1,211.81	$3,036.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,234.14 / $1,234.14 / $3,216.27	Facility		$1,234.14	$1,234.14	$3,216.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $639.79 / $1,234.14 / $2,015.80	Professional		$639.79	$1,234.14	$2,015.80