Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,417.46 / $3,996.00 / $10,296.00	Facility		$1,417.46	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,206.26 / $1,541.35 / $2,626.00	Professional		$1,206.26	$1,541.35	$2,626.00
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 $973.24 / $1,272.22 / $2,899.86	Professional		$973.24	$1,272.22	$2,899.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,683.08 / $1,683.08 / $37,499.62	Facility		$1,683.08	$1,683.08	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,683.08 / $1,683.08 / $1,683.08	Professional		$1,683.08	$1,683.08	$1,683.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,355.47 / $1,355.47 / $7,227.90	Facility		$1,355.47	$1,355.47	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,033.00 / $2,059.23 / $4,648.55	Professional		$1,033.00	$2,059.23	$4,648.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,400.00 / $3,043.40	Facility		$319.00	$1,400.00	$3,043.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,352.62 / $1,616.17 / $2,418.67	Professional		$1,352.62	$1,616.17	$2,418.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $968.88 / $1,435.15 / $2,171.44	Professional		$968.88	$1,435.15	$2,171.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,355.47 / $7,227.90	Facility		$555.00	$1,355.47	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,225.14 / $2,015.40 / $4,300.72	Professional		$1,225.14	$2,015.40	$4,300.72
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 $969.44 / $1,456.34 / $3,697.19	Professional		$969.44	$1,456.34	$3,697.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,584.41 / $1,584.41 / $3,963.02	Facility		$1,584.41	$1,584.41	$3,963.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $984.98 / $1,584.41 / $2,513.42	Professional		$984.98	$1,584.41	$2,513.42