Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,227.57 / $5,164.00 / $11,161.00	Facility		$1,227.57	$5,164.00	$11,161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.44 / $1,106.13 / $1,731.46	Professional		$731.44	$1,106.13	$1,731.46
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 $737.74 / $964.37 / $2,196.14	Professional		$737.74	$964.37	$2,196.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,274.33 / $1,274.33 / $37,499.62	Facility		$1,274.33	$1,274.33	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,274.33 / $1,274.33 / $1,274.33	Professional		$1,274.33	$1,274.33	$1,274.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,025.95 / $1,025.95 / $7,227.90	Facility		$1,025.95	$1,025.95	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $802.26 / $1,554.56 / $3,521.25	Professional		$802.26	$1,554.56	$3,521.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,050.00 / $2,305.19	Facility		$319.00	$1,050.00	$2,305.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,024.53 / $1,224.05 / $1,831.85	Professional		$1,024.53	$1,224.05	$1,831.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $701.57 / $990.54 / $1,631.47	Professional		$701.57	$990.54	$1,631.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,025.95 / $7,227.90	Facility		$555.00	$1,025.95	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $927.76 / $1,526.55 / $3,258.91	Professional		$927.76	$1,526.55	$3,258.91
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 $738.13 / $1,130.33 / $2,800.83	Professional		$738.13	$1,130.33	$2,800.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,165.33 / $1,165.33 / $3,130.56	Facility		$1,165.33	$1,165.33	$3,130.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $701.57 / $1,122.15 / $1,903.41	Professional		$701.57	$1,122.15	$1,903.41