Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.81 / $3,996.00 / $10,296.00	Facility		$1,335.81	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.83 / $1,452.23 / $2,106.92	Professional		$854.83	$1,452.23	$2,106.92
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 $898.96 / $1,175.11 / $2,684.44	Professional		$898.96	$1,175.11	$2,684.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,552.11 / $1,552.11 / $37,499.62	Facility		$1,552.11	$1,552.11	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,552.11 / $1,552.11 / $1,552.11	Professional		$1,552.11	$1,552.11	$1,552.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,249.66 / $1,249.66 / $7,227.90	Facility		$1,249.66	$1,249.66	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.95 / $1,898.74 / $4,299.01	Professional		$950.95	$1,898.74	$4,299.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,715.00 / $2,805.08	Facility		$319.00	$1,715.00	$2,805.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,246.70 / $1,490.18 / $2,230.13	Professional		$1,246.70	$1,490.18	$2,230.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $841.85 / $1,205.83 / $1,986.07	Professional		$841.85	$1,205.83	$1,986.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,249.66 / $7,227.90	Facility		$555.00	$1,249.66	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,131.45 / $1,898.74 / $4,284.59	Professional		$1,131.45	$1,898.74	$4,284.59
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 $963.62 / $1,381.39 / $3,415.72	Professional		$963.62	$1,381.39	$3,415.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,418.62 / $1,418.62 / $4,173.63	Facility		$1,418.62	$1,418.62	$4,173.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $841.85 / $1,366.05 / $2,317.11	Professional		$841.85	$1,366.05	$2,317.11