Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,133.10 / $4,648.00 / $10,526.00	Facility		$1,133.10	$4,648.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $901.62 / $1,162.52 / $1,730.10	Professional		$901.62	$1,162.52	$1,730.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $10,294.00 / $24,288.00	Facility		$4,989.00	$10,294.00	$24,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.24 / $958.49 / $2,192.12	Professional		$733.24	$958.49	$2,192.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,267.89 / $1,267.89 / $37,499.62	Facility		$1,267.89	$1,267.89	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,267.89 / $1,267.89 / $1,267.89	Professional		$1,267.89	$1,267.89	$1,267.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,022.17 / $1,022.17 / $7,227.90	Facility		$1,022.17	$1,022.17	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $779.29 / $1,551.53 / $3,507.22	Professional		$779.29	$1,551.53	$3,507.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,377.00 / $2,303.39	Facility		$319.00	$1,377.00	$2,303.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.73 / $1,221.78 / $1,828.46	Professional		$1,023.73	$1,221.78	$1,828.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $731.89 / $1,017.32 / $1,640.29	Professional		$731.89	$1,017.32	$1,640.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,022.17 / $7,227.90	Facility		$555.00	$1,022.17	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $860.74 / $1,493.34 / $3,241.94	Professional		$860.74	$1,493.34	$3,241.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $5,963.00	Facility		$1,348.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $737.05 / $1,082.73 / $2,510.94	Professional		$737.05	$1,082.73	$2,510.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,196.84 / $1,196.84 / $2,982.82	Facility		$1,196.84	$1,196.84	$2,982.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $733.76 / $1,119.33 / $1,898.63	Professional		$733.76	$1,119.33	$1,898.63