Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,397.73 / $3,659.00 / $9,038.00	Facility		$1,397.73	$3,659.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $837.57 / $1,423.07 / $2,348.44	Professional		$837.57	$1,423.07	$2,348.44
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 $942.57 / $1,232.13 / $2,721.49	Professional		$942.57	$1,232.13	$2,721.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,633.07 / $1,633.07 / $37,499.62	Facility		$1,633.07	$1,633.07	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,633.07 / $1,633.07 / $1,633.07	Professional		$1,633.07	$1,633.07	$1,633.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,321.30 / $1,321.30 / $7,227.90	Facility		$1,321.30	$1,321.30	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,087.58 / $1,789.42 / $4,563.87	Professional		$1,087.58	$1,789.42	$4,563.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,243.66 / $3,126.62	Facility		$319.00	$1,243.66	$3,126.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,368.03 / $1,557.74 / $2,404.03	Professional		$1,368.03	$1,557.74	$2,404.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.88 / $1,396.59 / $2,076.27	Professional		$800.88	$1,396.59	$2,076.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,321.30 / $7,227.90	Facility		$555.00	$1,321.30	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,173.47 / $1,926.69 / $4,332.49	Professional		$1,173.47	$1,926.69	$4,332.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,694.00 / $3,146.00 / $5,253.00	Facility		$1,694.00	$3,146.00	$5,253.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,031.54 / $1,500.91 / $3,529.03	Professional		$1,031.54	$1,500.91	$3,529.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,483.05 / $1,483.05 / $3,754.22	Facility		$1,483.05	$1,483.05	$3,754.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $800.88 / $1,483.05 / $2,422.35	Professional		$800.88	$1,483.05	$2,422.35