Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $5,390.10 / $11,547.00	Facility		$1,516.00	$5,390.10	$11,547.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.72 / $1,402.11 / $2,185.37	Professional		$920.72	$1,402.11	$2,185.37
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 $933.00 / $1,219.61 / $2,774.60	Professional		$933.00	$1,219.61	$2,774.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,611.21 / $1,611.21 / $37,499.62	Facility		$1,611.21	$1,611.21	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,611.21 / $1,611.21 / $1,611.21	Professional		$1,611.21	$1,611.21	$1,611.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,297.70 / $1,297.70 / $7,227.90	Facility		$1,297.70	$1,297.70	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $987.48 / $2,011.49 / $4,448.18	Professional		$987.48	$2,011.49	$4,448.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,913.00 / $3,060.80	Facility		$319.00	$1,913.00	$3,060.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,293.11 / $1,545.90 / $2,313.52	Professional		$1,293.11	$1,545.90	$2,313.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $885.95 / $1,251.76 / $2,061.71	Professional		$885.95	$1,251.76	$2,061.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,297.70 / $7,227.90	Facility		$555.00	$1,297.70	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,174.06 / $1,926.75 / $4,119.93	Professional		$1,174.06	$1,926.75	$4,119.93
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 $999.50 / $1,456.51 / $3,680.61	Professional		$999.50	$1,456.51	$3,680.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,472.66 / $1,472.66 / $3,960.76	Facility		$1,472.66	$1,472.66	$3,960.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $885.95 / $1,418.09 / $2,405.38	Professional		$885.95	$1,418.09	$2,405.38