Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.41 / $4,648.00 / $10,526.00	Facility		$1,318.41	$4,648.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,086.16 / $1,367.96 / $2,030.92	Professional		$1,086.16	$1,367.96	$2,030.92
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 $792.89 / $1,025.16 / $2,573.76	Professional		$792.89	$1,025.16	$2,573.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,493.85 / $2,390.00 / $10,957.50	Facility		$1,493.85	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,493.85 / $1,493.85 / $1,493.85	Professional		$1,493.85	$1,493.85	$1,493.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,201.73 / $1,201.73 / $6,511.02	Facility		$1,201.73	$1,201.73	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.07 / $1,821.77 / $4,130.42	Professional		$916.07	$1,821.77	$4,130.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,812.00 / $2,899.20	Facility		$319.00	$1,812.00	$2,899.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,221.68 / $1,466.11 / $2,147.44	Professional		$1,221.68	$1,466.11	$2,147.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $833.80 / $1,519.05 / $2,122.38	Professional		$833.80	$1,519.05	$2,122.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,201.73 / $6,511.02	Facility		$555.00	$1,201.73	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,085.94 / $1,790.58 / $4,088.70	Professional		$1,085.94	$1,790.58	$4,088.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $838.79 / $1,224.56 / $2,941.82	Professional		$838.79	$1,224.56	$2,941.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,406.25 / $1,406.25 / $3,592.87	Facility		$1,406.25	$1,406.25	$3,592.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $859.94 / $1,519.05 / $2,688.48	Professional		$859.94	$1,519.05	$2,688.48