Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $5,228.00 / $12,300.00	Facility		$1,516.00	$5,228.00	$12,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,171.09 / $1,534.82 / $3,032.82	Professional		$1,171.09	$1,534.82	$3,032.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,025.20 / $1,340.14 / $2,896.59	Professional		$1,025.20	$1,340.14	$2,896.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,677.16 / $1,677.16 / $12,319.50	Facility		$1,677.16	$1,677.16	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,677.16 / $1,677.16 / $1,677.16	Professional		$1,677.16	$1,677.16	$1,677.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,349.10 / $1,349.10 / $7,227.90	Facility		$1,349.10	$1,349.10	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,027.71 / $2,052.17 / $4,862.31	Professional		$1,027.71	$2,052.17	$4,862.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,997.60 / $3,716.80	Facility		$319.00	$1,997.60	$3,716.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,347.30 / $1,609.18 / $2,408.21	Professional		$1,347.30	$1,609.18	$2,408.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $964.10 / $1,428.94 / $2,162.11	Professional		$964.10	$1,428.94	$2,162.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,349.10 / $7,227.90	Facility		$555.00	$1,349.10	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,221.08 / $2,015.42 / $4,701.03	Professional		$1,221.08	$2,015.42	$4,701.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $11,098.00	Facility		$2,264.00	$5,735.00	$11,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $942.92 / $1,490.81 / $3,991.85	Professional		$942.92	$1,490.81	$3,991.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,577.60 / $1,577.60 / $4,177.60	Facility		$1,577.60	$1,577.60	$4,177.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $964.10 / $1,577.60 / $2,502.64	Professional		$964.10	$1,577.60	$2,502.64