Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,387.05 / $3,996.00 / $10,296.00	Facility		$1,387.05	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $937.53 / $1,402.92 / $2,205.40	Professional		$937.53	$1,402.92	$2,205.40
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 $941.17 / $1,230.29 / $2,798.05	Professional		$941.17	$1,230.29	$2,798.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,625.30 / $1,625.30 / $37,499.62	Facility		$1,625.30	$1,625.30	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,625.30 / $1,625.30 / $1,625.30	Professional		$1,625.30	$1,625.30	$1,625.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,308.88 / $1,308.88 / $7,227.90	Facility		$1,308.88	$1,308.88	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $995.28 / $1,970.15 / $4,486.82	Professional		$995.28	$1,970.15	$4,486.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,895.00 / $3,032.00	Facility		$319.00	$1,895.00	$3,032.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,304.97 / $1,559.87 / $2,334.42	Professional		$1,304.97	$1,559.87	$2,334.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $897.05 / $1,398.50 / $2,079.41	Professional		$897.05	$1,398.50	$2,079.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,308.88 / $7,227.90	Facility		$555.00	$1,308.88	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,184.31 / $1,944.41 / $4,156.96	Professional		$1,184.31	$1,944.41	$4,156.96
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 $981.77 / $1,445.91 / $3,713.70	Professional		$981.77	$1,445.91	$3,713.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,485.29 / $1,485.29 / $3,995.32	Facility		$1,485.29	$1,485.29	$3,995.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $897.05 / $1,485.29 / $2,426.01	Professional		$897.05	$1,485.29	$2,426.01