Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,275.41 / $4,442.00 / $10,024.00	Facility		$1,275.41	$4,442.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,036.42 / $1,305.68 / $2,570.71	Professional		$1,036.42	$1,305.68	$2,570.71
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 $827.50 / $1,081.70 / $2,457.58	Professional		$827.50	$1,081.70	$2,457.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,426.85 / $1,990.00 / $8,917.50	Facility		$1,426.85	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,426.85 / $1,426.85 / $1,426.85	Professional		$1,426.85	$1,426.85	$1,426.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,147.67 / $1,147.67 / $5,246.94	Facility		$1,147.67	$1,147.67	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $874.42 / $1,750.96 / $3,943.82	Professional		$874.42	$1,750.96	$3,943.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,700.55 / $2,990.40	Facility		$319.00	$1,700.55	$2,990.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,147.18 / $1,369.89 / $2,050.11	Professional		$1,147.18	$1,369.89	$2,050.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $820.97 / $1,216.46 / $1,839.94	Professional		$820.97	$1,216.46	$1,839.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,147.67 / $5,246.94	Facility		$555.00	$1,147.67	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,038.90 / $1,750.96 / $3,645.24	Professional		$1,038.90	$1,750.96	$3,645.24
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 $836.35 / $1,268.39 / $3,159.87	Professional		$836.35	$1,268.39	$3,159.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,342.53 / $1,342.53 / $3,457.58	Facility		$1,342.53	$1,342.53	$3,457.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $857.00 / $1,342.53 / $2,129.71	Professional		$857.00	$1,342.53	$2,129.71