Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.66 / $5,164.00 / $11,161.00	Facility		$1,157.66	$5,164.00	$11,161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.89 / $1,157.66 / $1,776.98	Professional		$792.89	$1,157.66	$1,776.98
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 $710.73 / $929.06 / $2,129.88	Professional		$710.73	$929.06	$2,129.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,290.16 / $1,290.16 / $37,499.62	Facility		$1,290.16	$1,290.16	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,290.16 / $1,290.16 / $1,290.16	Professional		$1,290.16	$1,290.16	$1,290.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,038.77 / $1,038.77 / $7,227.90	Facility		$1,038.77	$1,038.77	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $863.00 / $1,562.41 / $3,279.24	Professional		$863.00	$1,562.41	$3,279.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,546.46 / $2,784.00	Facility		$319.00	$1,546.46	$2,784.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,055.80 / $1,282.79 / $1,833.78	Professional		$1,055.80	$1,282.79	$1,833.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $740.68 / $1,174.11 / $1,828.05	Professional		$740.68	$1,174.11	$1,828.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,038.77 / $7,227.90	Facility		$555.00	$1,038.77	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $927.17 / $1,562.41 / $3,279.24	Professional		$927.17	$1,562.41	$3,279.24
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 $899.00 / $1,267.81 / $2,403.48	Professional		$899.00	$1,267.81	$2,403.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,039.58 / $1,039.58 / $3,026.01	Facility		$1,039.58	$1,039.58	$3,026.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $740.68 / $1,256.53 / $2,315.64	Professional		$740.68	$1,256.53	$2,315.64