Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.90 / $4,792.00 / $11,396.00	Facility		$1,288.90	$4,792.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $925.02 / $1,288.90 / $2,072.60	Professional		$925.02	$1,288.90	$2,072.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,574.00 / $7,631.00 / $14,193.00	Facility		$4,574.00	$7,631.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $828.11 / $1,077.17 / $2,616.73	Professional		$828.11	$1,077.17	$2,616.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,505.27 / $1,505.27 / $37,499.62	Facility		$1,505.27	$1,505.27	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,505.27 / $1,505.27 / $1,505.27	Professional		$1,505.27	$1,505.27	$1,505.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,213.45 / $1,213.45 / $7,227.90	Facility		$1,213.45	$1,213.45	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,019.80 / $1,787.60 / $3,826.29	Professional		$1,019.80	$1,787.60	$3,826.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,782.00 / $2,920.00	Facility		$319.00	$1,782.00	$2,920.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,226.39 / $1,430.45 / $2,140.75	Professional		$1,226.39	$1,430.45	$2,140.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $864.99 / $1,214.06 / $1,943.68	Professional		$864.99	$1,214.06	$1,943.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,213.45 / $7,227.90	Facility		$555.00	$1,213.45	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,084.13 / $1,787.60 / $3,826.29	Professional		$1,084.13	$1,787.60	$3,826.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $11,176.00	Facility		$2,264.00	$5,735.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,035.84 / $1,467.90 / $3,049.97	Professional		$1,035.84	$1,467.90	$3,049.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,214.06 / $1,214.06 / $3,503.42	Facility		$1,214.06	$1,214.06	$3,503.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $931.70 / $1,282.48 / $2,243.91	Professional		$931.70	$1,282.48	$2,243.91