Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,063.08 / $3,996.00 / $10,296.00	Facility		$1,063.08	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.50 / $1,072.59 / $1,694.61	Professional		$710.50	$1,072.59	$1,694.61
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 $718.89 / $939.73 / $2,234.73	Professional		$718.89	$939.73	$2,234.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,243.19 / $1,243.19 / $37,499.62	Facility		$1,243.19	$1,243.19	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,243.19 / $1,243.19 / $1,243.19	Professional		$1,243.19	$1,243.19	$1,243.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,001.77 / $1,001.77 / $7,227.90	Facility		$1,001.77	$1,001.77	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $802.26 / $1,561.78 / $3,890.43	Professional		$802.26	$1,561.78	$3,890.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,462.00 / $2,339.19	Facility		$319.00	$1,462.00	$2,339.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,002.73 / $1,197.02 / $1,791.40	Professional		$1,002.73	$1,197.02	$1,791.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $680.87 / $1,073.19 / $1,594.75	Professional		$680.87	$1,073.19	$1,594.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,001.77 / $7,227.90	Facility		$555.00	$1,001.77	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $904.02 / $1,494.07 / $3,459.27	Professional		$904.02	$1,494.07	$3,459.27
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 $769.53 / $1,127.45 / $2,835.12	Professional		$769.53	$1,127.45	$2,835.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,139.10 / $1,139.10 / $3,050.12	Facility		$1,139.10	$1,139.10	$3,050.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $680.87 / $1,139.10 / $1,860.57	Professional		$680.87	$1,139.10	$1,860.57