Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,278.58 / $5,699.00 / $12,793.00	Facility		$1,278.58	$5,699.00	$12,793.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $860.10 / $1,182.14 / $2,052.32	Professional		$860.10	$1,182.14	$2,052.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,578.00 / $14,193.00	Facility		$4,568.00	$7,578.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $725.50 / $944.81 / $2,354.40	Professional		$725.50	$944.81	$2,354.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,369.17 / $1,369.17 / $12,319.50	Facility		$1,369.17	$1,369.17	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,369.17 / $1,369.17 / $1,369.17	Professional		$1,369.17	$1,369.17	$1,369.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,102.09 / $1,102.09 / $12,209.00	Facility		$1,102.09	$1,102.09	$12,209.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.90 / $1,690.04 / $3,778.31	Professional		$840.90	$1,690.04	$3,778.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,585.00 / $2,781.84	Facility		$332.00	$1,585.00	$2,781.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,097.64 / $1,312.70 / $1,964.52	Professional		$1,097.64	$1,312.70	$1,964.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $768.98 / $1,062.64 / $1,750.24	Professional		$768.98	$1,062.64	$1,750.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,102.09 / $12,209.00	Facility		$597.00	$1,102.09	$12,209.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $998.14 / $1,635.48 / $3,501.75	Professional		$998.14	$1,635.48	$3,501.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $6,762.00 / $16,403.00	Facility		$2,444.00	$6,762.00	$16,403.00
United Facility/Professional Professional Modifier Low / Median / High Price $790.81 / $1,177.06 / $3,010.99	Professional		$790.81	$1,177.06	$3,010.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,250.17 / $1,250.17 / $3,372.35	Facility		$1,250.17	$1,250.17	$3,372.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $768.98 / $1,203.83 / $2,041.98	Professional		$768.98	$1,203.83	$2,041.98