Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,509.80 / $6,393.00 / $14,785.00	Facility		$1,509.80	$6,393.00	$14,785.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.62 / $1,403.13 / $2,245.00	Professional		$975.62	$1,403.13	$2,245.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $10,294.00 / $23,873.00	Facility		$4,989.00	$10,294.00	$23,873.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $886.75 / $1,159.16 / $3,020.56	Professional		$886.75	$1,159.16	$3,020.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,594.17 / $1,594.17 / $13,477.50	Facility		$1,594.17	$1,594.17	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,594.17 / $1,594.17 / $1,594.17	Professional		$1,594.17	$1,594.17	$1,594.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,283.66 / $7,289.38 / $34,562.00	Facility		$1,283.66	$7,289.38	$34,562.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,078.49 / $1,948.23 / $4,050.83	Professional		$1,078.49	$1,948.23	$4,050.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,969.00 / $4,081.07	Facility		$332.00	$1,969.00	$4,081.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,295.83 / $1,511.57 / $2,262.14	Professional		$1,295.83	$1,511.57	$2,262.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $920.25 / $1,281.02 / $2,050.88	Professional		$920.25	$1,281.02	$2,050.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $7,289.38 / $34,562.00	Facility		$597.00	$7,289.38	$34,562.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,163.91 / $1,948.23 / $4,050.83	Professional		$1,163.91	$1,948.23	$4,050.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $6,762.00 / $16,403.00	Facility		$2,444.00	$6,762.00	$16,403.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,130.24 / $1,603.86 / $3,230.84	Professional		$1,130.24	$1,603.86	$3,230.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,281.02 / $1,281.02 / $3,876.82	Facility		$1,281.02	$1,281.02	$3,876.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,010.47 / $1,355.19 / $2,367.67	Professional		$1,010.47	$1,355.19	$2,367.67