Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,115.91 / $3,996.00 / $10,296.00	Facility		$1,115.91	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.75 / $1,136.79 / $1,778.34	Professional		$748.75	$1,136.79	$1,778.34
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 $754.62 / $986.44 / $2,254.90	Professional		$754.62	$986.44	$2,254.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,305.75 / $1,305.75 / $37,499.62	Facility		$1,305.75	$1,305.75	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,305.75 / $1,305.75 / $1,305.75	Professional		$1,305.75	$1,305.75	$1,305.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,052.16 / $1,052.16 / $7,227.90	Facility		$1,052.16	$1,052.16	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $802.26 / $1,593.40 / $3,610.26	Professional		$802.26	$1,593.40	$3,610.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,490.00 / $2,384.00	Facility		$319.00	$1,490.00	$2,384.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,052.27 / $1,256.31 / $1,880.13	Professional		$1,052.27	$1,256.31	$1,880.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.41 / $1,126.34 / $1,674.15	Professional		$724.41	$1,126.34	$1,674.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,052.16 / $7,227.90	Facility		$555.00	$1,052.16	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $949.82 / $1,567.88 / $3,335.49	Professional		$949.82	$1,567.88	$3,335.49
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 $758.12 / $1,155.44 / $2,867.25	Professional		$758.12	$1,155.44	$2,867.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,195.82 / $1,195.82 / $3,215.07	Facility		$1,195.82	$1,195.82	$3,215.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $724.41 / $1,195.82 / $1,953.20	Professional		$724.41	$1,195.82	$1,953.20