Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,269.73 / $5,164.00 / $11,161.00	Facility		$1,269.73	$5,164.00	$11,161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $773.69 / $1,198.65 / $1,811.41	Professional		$773.69	$1,198.65	$1,811.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,221.66 / $11,909.00	Facility		$3,283.00	$5,221.66	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $770.94 / $1,007.77 / $2,294.69	Professional		$770.94	$1,007.77	$2,294.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,331.70 / $1,331.70 / $37,499.62	Facility		$1,331.70	$1,331.70	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,331.70 / $1,331.70 / $1,331.70	Professional		$1,331.70	$1,331.70	$1,331.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,072.51 / $1,072.51 / $7,227.90	Facility		$1,072.51	$1,072.51	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $875.43 / $1,671.94 / $3,678.42	Professional		$875.43	$1,671.94	$3,678.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,115.00 / $2,411.64	Facility		$319.00	$1,115.00	$2,411.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.83 / $1,279.97 / $1,915.55	Professional		$1,071.83	$1,279.97	$1,915.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $745.26 / $1,035.16 / $1,704.98	Professional		$745.26	$1,035.16	$1,704.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,072.51 / $7,227.90	Facility		$555.00	$1,072.51	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $970.15 / $1,597.04 / $3,406.72	Professional		$970.15	$1,597.04	$3,406.72
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 $828.30 / $1,182.24 / $3,043.44	Professional		$828.30	$1,182.24	$3,043.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,217.83 / $1,217.83 / $3,273.92	Facility		$1,217.83	$1,217.83	$3,273.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $745.26 / $1,172.71 / $1,989.17	Professional		$745.26	$1,172.71	$1,989.17