Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,239.30 / $3,996.00 / $10,296.00	Facility		$1,239.30	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $769.71 / $1,246.67 / $2,191.08	Professional		$769.71	$1,246.67	$2,191.08
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 $821.87 / $1,074.33 / $2,532.53	Professional		$821.87	$1,074.33	$2,532.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,448.21 / $1,448.21 / $37,499.62	Facility		$1,448.21	$1,448.21	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,448.21 / $1,448.21 / $1,448.21	Professional		$1,448.21	$1,448.21	$1,448.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,165.57 / $1,165.57 / $7,227.90	Facility		$1,165.57	$1,165.57	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $923.38 / $1,838.49 / $4,018.51	Professional		$923.38	$1,838.49	$4,018.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,077.13 / $2,654.84	Facility		$319.00	$1,077.13	$2,654.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,179.93 / $1,376.20 / $2,059.55	Professional		$1,179.93	$1,376.20	$2,059.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $763.15 / $1,120.17 / $1,844.99	Professional		$763.15	$1,120.17	$1,844.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,165.57 / $7,227.90	Facility		$555.00	$1,165.57	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,071.69 / $1,758.10 / $3,822.87	Professional		$1,071.69	$1,758.10	$3,822.87
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 $850.09 / $1,280.51 / $2,960.86	Professional		$850.09	$1,280.51	$2,960.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,317.85 / $1,317.85 / $3,635.56	Facility		$1,317.85	$1,317.85	$3,635.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $763.15 / $1,269.01 / $2,152.51	Professional		$763.15	$1,269.01	$2,152.51