Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,314.16 / $3,797.00 / $10,965.00	Facility		$1,314.16	$3,797.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.33 / $1,385.13 / $2,104.39	Professional		$797.33	$1,385.13	$2,104.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,541.00 / $14,193.00	Facility		$4,568.00	$7,541.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $815.28 / $1,058.22 / $2,611.40	Professional		$815.28	$1,058.22	$2,611.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,523.04 / $1,523.04 / $37,499.62	Facility		$1,523.04	$1,523.04	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,523.04 / $1,523.04 / $1,523.04	Professional		$1,523.04	$1,523.04	$1,523.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,226.09 / $1,226.09 / $7,227.90	Facility		$1,226.09	$1,226.09	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $980.80 / $1,804.44 / $4,246.67	Professional		$980.80	$1,804.44	$4,246.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,693.00 / $2,801.70	Facility		$319.00	$1,693.00	$2,801.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,245.20 / $1,450.15 / $2,170.21	Professional		$1,245.20	$1,450.15	$2,170.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $849.56 / $1,184.90 / $1,951.60	Professional		$849.56	$1,184.90	$1,951.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,226.09 / $7,227.90	Facility		$555.00	$1,226.09	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,083.71 / $1,804.44 / $4,007.29	Professional		$1,083.71	$1,804.44	$4,007.29
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 $942.68 / $1,328.72 / $3,530.90	Professional		$942.68	$1,328.72	$3,530.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,394.00 / $1,394.00 / $3,611.44	Facility		$1,394.00	$1,394.00	$3,611.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $849.56 / $1,342.34 / $2,276.90	Professional		$849.56	$1,342.34	$2,276.90