Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,326.59 / $3,996.00 / $10,296.00	Facility		$1,326.59	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.36 / $1,385.97 / $2,108.16	Professional		$877.36	$1,385.97	$2,108.16
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 $899.24 / $1,175.49 / $2,674.86	Professional		$899.24	$1,175.49	$2,674.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,553.08 / $1,553.08 / $37,499.62	Facility		$1,553.08	$1,553.08	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,553.08 / $1,553.08 / $1,553.08	Professional		$1,553.08	$1,553.08	$1,553.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,250.77 / $1,250.77 / $7,227.90	Facility		$1,250.77	$1,250.77	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $951.21 / $1,949.85 / $4,288.64	Professional		$951.21	$1,949.85	$4,288.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,851.01 / $2,984.00	Facility		$319.00	$1,851.01	$2,984.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,247.43 / $1,491.09 / $2,231.50	Professional		$1,247.43	$1,491.09	$2,231.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $839.58 / $1,336.85 / $1,987.76	Professional		$839.58	$1,336.85	$1,987.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,250.77 / $7,227.90	Facility		$555.00	$1,250.77	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,132.17 / $1,858.67 / $3,977.18	Professional		$1,132.17	$1,858.67	$3,977.18
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 $956.83 / $1,382.26 / $3,735.67	Professional		$956.83	$1,382.26	$3,735.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,419.82 / $1,419.82 / $3,816.55	Facility		$1,419.82	$1,419.82	$3,816.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $839.58 / $1,419.82 / $2,319.08	Professional		$839.58	$1,419.82	$2,319.08