Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,116.65 / $3,996.00 / $10,296.00	Facility		$1,116.65	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.94 / $1,127.98 / $1,772.29	Professional		$741.94	$1,127.98	$1,772.29
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 $754.06 / $985.70 / $2,247.17	Professional		$754.06	$985.70	$2,247.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,303.76 / $1,303.76 / $37,499.62	Facility		$1,303.76	$1,303.76	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,303.76 / $1,303.76 / $1,303.76	Professional		$1,303.76	$1,303.76	$1,303.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.23 / $1,047.23 / $7,227.90	Facility		$1,047.23	$1,047.23	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $802.26 / $1,598.59 / $3,609.25	Professional		$802.26	$1,598.59	$3,609.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,552.00 / $2,483.19	Facility		$319.00	$1,552.00	$2,483.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,048.69 / $1,251.59 / $1,873.08	Professional		$1,048.69	$1,251.59	$1,873.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $709.93 / $1,012.61 / $1,667.83	Professional		$709.93	$1,012.61	$1,667.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,047.23 / $7,227.90	Facility		$555.00	$1,047.23	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $949.46 / $1,562.55 / $3,355.66	Professional		$949.46	$1,562.55	$3,355.66
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 $810.57 / $1,158.48 / $2,903.12	Professional		$810.57	$1,158.48	$2,903.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,191.30 / $1,191.30 / $3,199.52	Facility		$1,191.30	$1,191.30	$3,199.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $709.93 / $1,147.16 / $1,945.83	Professional		$709.93	$1,147.16	$1,945.83