Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,356.20 / $3,996.00 / $10,296.00	Facility		$1,356.20	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $997.30 / $1,381.95 / $2,381.17	Professional		$997.30	$1,381.95	$2,381.17
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 $920.07 / $1,202.71 / $2,735.45	Professional		$920.07	$1,202.71	$2,735.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,588.45 / $1,588.45 / $37,499.62	Facility		$1,588.45	$1,588.45	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,588.45 / $1,588.45 / $1,588.45	Professional		$1,588.45	$1,588.45	$1,588.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,279.26 / $1,279.26 / $7,227.90	Facility		$1,279.26	$1,279.26	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $974.15 / $1,961.05 / $4,385.71	Professional		$974.15	$1,961.05	$4,385.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,892.20 / $3,246.40	Facility		$319.00	$1,892.20	$3,246.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,274.74 / $1,529.69 / $2,332.77	Professional		$1,274.74	$1,529.69	$2,332.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $888.95 / $1,366.59 / $2,032.59	Professional		$888.95	$1,366.59	$2,032.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,279.26 / $7,227.90	Facility		$555.00	$1,279.26	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,157.38 / $1,899.36 / $4,060.91	Professional		$1,157.38	$1,899.36	$4,060.91
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 $930.34 / $1,421.95 / $3,732.13	Professional		$930.34	$1,421.95	$3,732.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,451.85 / $1,451.85 / $3,968.92	Facility		$1,451.85	$1,451.85	$3,968.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $888.95 / $1,451.85 / $2,371.38	Professional		$888.95	$1,451.85	$2,371.38