Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,528.44 / $5,228.00 / $11,996.00	Facility		$1,528.44	$5,228.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,062.26 / $1,500.47 / $2,378.91	Professional		$1,062.26	$1,500.47	$2,378.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.74 / $1,246.98 / $3,026.92	Professional		$954.74	$1,246.98	$3,026.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,732.60 / $1,732.60 / $12,319.50	Facility		$1,732.60	$1,732.60	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,732.60 / $1,732.60 / $1,732.60	Professional		$1,732.60	$1,732.60	$1,732.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,393.63 / $1,393.63 / $7,227.90	Facility		$1,393.63	$1,393.63	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,170.83 / $2,067.21 / $4,403.81	Professional		$1,170.83	$2,067.21	$4,403.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,071.89 / $3,430.40	Facility		$319.00	$2,071.89	$3,430.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,407.64 / $1,641.66 / $2,456.83	Professional		$1,407.64	$1,641.66	$2,456.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $991.78 / $1,392.02 / $2,228.58	Professional		$991.78	$1,392.02	$2,228.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,393.63 / $7,227.90	Facility		$555.00	$1,393.63	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,254.09 / $2,067.21 / $4,403.81	Professional		$1,254.09	$2,067.21	$4,403.81
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 $1,215.07 / $1,682.64 / $3,240.73	Professional		$1,215.07	$1,682.64	$3,240.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,392.02 / $1,392.02 / $4,137.01	Facility		$1,392.02	$1,392.02	$4,137.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,080.42 / $1,471.84 / $2,572.82	Professional		$1,080.42	$1,471.84	$2,572.82