Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,472.01 / $4,442.00 / $10,024.00	Facility		$1,472.01	$4,442.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.26 / $1,400.96 / $3,480.19	Professional		$1,028.26	$1,400.96	$3,480.19
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 $915.28 / $1,196.45 / $3,084.20	Professional		$915.28	$1,196.45	$3,084.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,670.68 / $1,670.68 / $8,917.50	Facility		$1,670.68	$1,670.68	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,670.68 / $1,670.68 / $1,670.68	Professional		$1,670.68	$1,670.68	$1,670.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,345.81 / $1,345.81 / $7,227.90	Facility		$1,345.81	$1,345.81	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,110.90 / $2,052.53 / $5,594.40	Professional		$1,110.90	$2,052.53	$5,594.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,970.91 / $3,344.00	Facility		$319.00	$1,970.91	$3,344.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,362.15 / $1,587.68 / $2,376.04	Professional		$1,362.15	$1,587.68	$2,376.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $960.49 / $1,348.11 / $2,158.28	Professional		$960.49	$1,348.11	$2,158.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,345.81 / $7,227.90	Facility		$555.00	$1,345.81	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,197.83 / $2,029.60 / $4,491.68	Professional		$1,197.83	$2,029.60	$4,491.68
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 $1,167.19 / $1,628.26 / $3,354.70	Professional		$1,167.19	$1,628.26	$3,354.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,348.11 / $1,348.11 / $3,818.34	Facility		$1,348.11	$1,348.11	$3,818.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,010.42 / $1,423.44 / $2,491.67	Professional		$1,010.42	$1,423.44	$2,491.67