Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.18 / $5,576.00 / $12,466.00	Facility		$1,400.18	$5,576.00	$12,466.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,151.00 / $1,267.83 / $2,208.58	Professional		$1,151.00	$1,267.83	$2,208.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,697.00	Facility		$4,100.00	$7,264.00	$12,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $894.69 / $1,169.53 / $2,716.64	Professional		$894.69	$1,169.53	$2,716.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,469.48 / $1,469.48 / $37,499.62	Facility		$1,469.48	$1,469.48	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,469.48 / $1,469.48 / $1,469.48	Professional		$1,469.48	$1,469.48	$1,469.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,178.59 / $1,178.59 / $7,227.90	Facility		$1,178.59	$1,178.59	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $896.88 / $1,809.65 / $4,061.98	Professional		$896.88	$1,809.65	$4,061.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,520.00 / $2,648.52	Facility		$319.00	$1,520.00	$2,648.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,177.11 / $1,406.25 / $2,104.53	Professional		$1,177.11	$1,406.25	$2,104.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $805.79 / $1,260.78 / $1,874.09	Professional		$805.79	$1,260.78	$1,874.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,178.59 / $7,227.90	Facility		$555.00	$1,178.59	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,069.82 / $1,755.43 / $3,770.83	Professional		$1,069.82	$1,755.43	$3,770.83
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 $869.62 / $1,275.44 / $3,235.40	Professional		$869.62	$1,275.44	$3,235.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,338.63 / $1,338.63 / $3,609.76	Facility		$1,338.63	$1,338.63	$3,609.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $805.79 / $1,338.63 / $2,186.46	Professional		$805.79	$1,338.63	$2,186.46