Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,242.00 / $5,164.00 / $11,161.00	Facility		$1,242.00	$5,164.00	$11,161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.92 / $1,196.83 / $1,782.24	Professional		$794.92	$1,196.83	$1,782.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,697.00	Facility		$4,100.00	$7,264.00	$12,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $712.70 / $931.64 / $2,268.04	Professional		$712.70	$931.64	$2,268.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,293.51 / $1,293.51 / $12,319.50	Facility		$1,293.51	$1,293.51	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,293.51 / $1,293.51 / $1,293.51	Professional		$1,293.51	$1,293.51	$1,293.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,041.23 / $1,041.23 / $7,227.90	Facility		$1,041.23	$1,041.23	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.46 / $1,604.89 / $3,287.87	Professional		$876.46	$1,604.89	$3,287.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,550.94 / $2,785.60	Facility		$319.00	$1,550.94	$2,785.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,058.95 / $1,286.58 / $1,839.10	Professional		$1,058.95	$1,286.58	$1,839.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $631.17 / $1,177.53 / $1,832.69	Professional		$631.17	$1,177.53	$1,832.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,041.23 / $7,227.90	Facility		$555.00	$1,041.23	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $947.11 / $1,571.32 / $3,287.87	Professional		$947.11	$1,571.32	$3,287.87
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 $907.98 / $1,260.59 / $2,397.08	Professional		$907.98	$1,260.59	$2,397.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,042.23 / $1,042.23 / $3,081.67	Facility		$1,042.23	$1,042.23	$3,081.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $742.56 / $1,259.72 / $2,321.51	Professional		$742.56	$1,259.72	$2,321.51