Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,204.01 / $4,442.00 / $10,024.00	Facility		$1,204.01	$4,442.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $984.91 / $1,204.01 / $1,788.61	Professional		$984.91	$1,204.01	$1,788.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $756.87 / $989.38 / $2,386.31	Professional		$756.87	$989.38	$2,386.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,313.20 / $1,990.00 / $8,917.50	Facility		$1,313.20	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,313.20 / $1,313.20 / $1,313.20	Professional		$1,313.20	$1,313.20	$1,313.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,057.80 / $1,057.80 / $5,246.94	Facility		$1,057.80	$1,057.80	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $806.96 / $1,650.29 / $3,634.40	Professional		$806.96	$1,650.29	$3,634.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,125.00 / $2,381.29	Facility		$319.00	$1,125.00	$2,381.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,076.09 / $1,291.19 / $1,890.79	Professional		$1,076.09	$1,291.19	$1,890.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $697.06 / $1,121.91 / $1,698.12	Professional		$697.06	$1,121.91	$1,698.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,057.80 / $5,246.94	Facility		$555.00	$1,057.80	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $956.32 / $1,646.57 / $3,506.89	Professional		$956.32	$1,646.57	$3,506.89
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 $774.91 / $1,171.64 / $2,904.74	Professional		$774.91	$1,171.64	$2,904.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,239.05 / $1,239.05 / $3,252.85	Facility		$1,239.05	$1,239.05	$3,252.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $697.06 / $1,239.05 / $1,965.57	Professional		$697.06	$1,239.05	$1,965.57