Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,460.19 / $5,228.00 / $11,996.00	Facility		$1,460.19	$5,228.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,004.22 / $1,416.64 / $2,503.65	Professional		$1,004.22	$1,416.64	$2,503.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,720.00 / $16,411.00	Facility		$4,989.00	$9,720.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $902.64 / $1,179.93 / $2,864.77	Professional		$902.64	$1,179.93	$2,864.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,637.69 / $1,637.69 / $10,957.50	Facility		$1,637.69	$1,637.69	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,637.69 / $1,637.69 / $1,637.69	Professional		$1,637.69	$1,637.69	$1,637.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.04 / $1,318.04 / $7,227.90	Facility		$1,318.04	$1,318.04	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,106.93 / $1,964.04 / $4,163.25	Professional		$1,106.93	$1,964.04	$4,163.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,945.80 / $3,193.60	Facility		$319.00	$1,945.80	$3,193.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,332.16 / $1,552.95 / $3,290.44	Professional		$1,332.16	$1,552.95	$3,290.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $938.26 / $1,316.90 / $2,108.32	Professional		$938.26	$1,316.90	$2,108.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,318.04 / $7,227.90	Facility		$555.00	$1,318.04	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,187.09 / $1,964.04 / $4,163.25	Professional		$1,187.09	$1,964.04	$4,163.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,142.08 / $1,592.41 / $3,058.77	Professional		$1,142.08	$1,592.41	$3,058.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,316.90 / $1,316.90 / $3,901.91	Facility		$1,316.90	$1,316.90	$3,901.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,025.66 / $1,392.30 / $2,433.98	Professional		$1,025.66	$1,392.30	$2,433.98