Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,422.65 / $3,797.00 / $10,965.00	Facility		$1,422.65	$3,797.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,018.31 / $1,451.50 / $3,185.12	Professional		$1,018.31	$1,451.50	$3,185.12
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 $906.28 / $1,184.68 / $3,079.96	Professional		$906.28	$1,184.68	$3,079.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,654.06 / $1,654.06 / $8,917.50	Facility		$1,654.06	$1,654.06	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,654.06 / $1,654.06 / $1,654.06	Professional		$1,654.06	$1,654.06	$1,654.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,332.49 / $1,332.49 / $7,227.90	Facility		$1,332.49	$1,332.49	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,123.04 / $2,024.51 / $5,282.37	Professional		$1,123.04	$2,024.51	$5,282.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,125.00 / $3,033.23	Facility		$319.00	$1,125.00	$3,033.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.10 / $1,571.63 / $2,352.02	Professional		$1,348.10	$1,571.63	$2,352.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $950.75 / $1,334.43 / $2,136.38	Professional		$950.75	$1,334.43	$2,136.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,332.49 / $7,227.90	Facility		$555.00	$1,332.49	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,186.18 / $2,008.67 / $4,591.46	Professional		$1,186.18	$2,008.67	$4,591.46
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 $1,116.23 / $1,609.87 / $3,113.98	Professional		$1,116.23	$1,609.87	$3,113.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,334.43 / $1,334.43 / $3,905.19	Facility		$1,334.43	$1,334.43	$3,905.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,019.00 / $1,409.05 / $2,466.39	Professional		$1,019.00	$1,409.05	$2,466.39