Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,471.76 / $3,996.00 / $10,296.00	Facility		$1,471.76	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.80 / $1,564.50 / $2,479.62	Professional		$865.80	$1,564.50	$2,479.62
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 $996.88 / $1,303.11 / $3,062.20	Professional		$996.88	$1,303.11	$3,062.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,725.23 / $1,725.23 / $37,499.62	Facility		$1,725.23	$1,725.23	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,725.23 / $1,725.23 / $1,725.23	Professional		$1,725.23	$1,725.23	$1,725.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,396.27 / $1,396.27 / $7,227.90	Facility		$1,396.27	$1,396.27	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,179.26 / $2,165.84 / $4,818.13	Professional		$1,179.26	$2,165.84	$4,818.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,675.00 / $3,301.27	Facility		$319.00	$1,675.00	$3,301.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,444.03 / $1,644.21 / $2,538.31	Professional		$1,444.03	$1,644.21	$2,538.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.50 / $1,474.13 / $2,192.61	Professional		$846.50	$1,474.13	$2,192.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,396.27 / $7,227.90	Facility		$555.00	$1,396.27	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,239.53 / $2,183.98 / $4,781.85	Professional		$1,239.53	$2,183.98	$4,781.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $3,988.00 / $8,133.00	Facility		$1,479.00	$3,988.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,089.59 / $1,552.27 / $3,930.26	Professional		$1,089.59	$1,552.27	$3,930.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,566.15 / $1,566.15 / $4,152.79	Facility		$1,566.15	$1,566.15	$4,152.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $846.50 / $1,566.15 / $2,558.08	Professional		$846.50	$1,566.15	$2,558.08