Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,242.00 / $4,442.00 / $10,024.00	Facility		$1,242.00	$4,442.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $981.21 / $1,263.93 / $2,762.68	Professional		$981.21	$1,263.93	$2,762.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $772.91 / $1,010.35 / $2,299.53	Professional		$772.91	$1,010.35	$2,299.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,333.11 / $1,990.00 / $8,917.50	Facility		$1,333.11	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,333.11 / $1,333.11 / $1,333.11	Professional		$1,333.11	$1,333.11	$1,333.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,073.30 / $1,073.30 / $5,246.94	Facility		$1,073.30	$1,073.30	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $817.86 / $1,636.98 / $3,685.44	Professional		$817.86	$1,636.98	$3,685.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,500.00 / $2,414.59	Facility		$319.00	$1,500.00	$2,414.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,073.15 / $1,281.16 / $1,917.33	Professional		$1,073.15	$1,281.16	$1,917.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $767.98 / $1,067.49 / $1,721.18	Professional		$767.98	$1,067.49	$1,721.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,073.30 / $5,246.94	Facility		$555.00	$1,073.30	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $971.53 / $1,598.99 / $3,602.93	Professional		$971.53	$1,598.99	$3,602.93
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 $775.57 / $1,161.70 / $2,642.15	Professional		$775.57	$1,161.70	$2,642.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,255.86 / $1,255.86 / $3,305.34	Facility		$1,255.86	$1,255.86	$3,305.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $811.41 / $1,152.83 / $1,992.26	Professional		$811.41	$1,152.83	$1,992.26