Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.38 / $3,996.00 / $10,296.00	Facility		$1,258.38	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $945.16 / $1,397.27 / $2,092.41	Professional		$945.16	$1,397.27	$2,092.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,697.00	Facility		$4,100.00	$7,264.00	$12,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $826.37 / $1,080.23 / $2,640.35	Professional		$826.37	$1,080.23	$2,640.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,516.93 / $1,516.93 / $37,499.62	Facility		$1,516.93	$1,516.93	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,516.93 / $1,516.93 / $1,516.93	Professional		$1,516.93	$1,516.93	$1,516.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,224.48 / $1,224.48 / $7,227.90	Facility		$1,224.48	$1,224.48	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,027.02 / $1,774.66 / $3,802.86	Professional		$1,027.02	$1,774.66	$3,802.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,480.00 / $2,785.75	Facility		$319.00	$1,480.00	$2,785.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,238.10 / $1,462.37 / $2,188.51	Professional		$1,238.10	$1,462.37	$2,188.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $868.22 / $1,237.74 / $1,981.59	Professional		$868.22	$1,237.74	$1,981.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,224.48 / $7,227.90	Facility		$555.00	$1,224.48	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,097.64 / $1,928.17 / $3,810.13	Professional		$1,097.64	$1,928.17	$3,810.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,052.45 / $1,458.95 / $2,950.66	Professional		$1,052.45	$1,458.95	$2,950.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,237.74 / $1,237.74 / $3,198.49	Facility		$1,237.74	$1,237.74	$3,198.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $868.22 / $1,311.09 / $2,287.67	Professional		$868.22	$1,311.09	$2,287.67