Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.88 / $4,392.00 / $10,296.00	Facility		$1,125.88	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.58 / $1,125.88 / $1,944.70	Professional		$907.58	$1,125.88	$1,944.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,191.34 / $10,437.68 / $19,671.83	Facility		$7,191.34	$10,437.68	$19,671.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $751.25 / $982.03 / $2,238.76	Professional		$751.25	$982.03	$2,238.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,325.67 / $1,325.67 / $37,499.62	Facility		$1,325.67	$1,325.67	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,325.67 / $1,325.67 / $1,325.67	Professional		$1,325.67	$1,325.67	$1,325.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,087.19 / $1,087.19 / $7,227.90	Facility		$1,087.19	$1,087.19	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,008.00 / $1,699.54 / $3,575.87	Professional		$1,008.00	$1,699.54	$3,575.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,956.21 / $3,870.00	Facility		$319.00	$1,956.21	$3,870.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,121.32 / $1,264.44 / $1,990.73	Professional		$1,121.32	$1,264.44	$1,990.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $523.54 / $895.74 / $1,754.76	Professional		$523.54	$895.74	$1,754.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,087.19 / $7,227.90	Facility		$555.00	$1,087.19	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,067.18 / $1,700.00 / $3,440.03	Professional		$1,067.18	$1,700.00	$3,440.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,754.00 / $30,257.00	Facility		$1,749.00	$4,754.00	$30,257.00
United Facility/Professional Professional Modifier Low / Median / High Price $805.50 / $1,163.26 / $2,648.67	Professional		$805.50	$1,163.26	$2,648.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,021.41 / $1,021.41 / $2,819.34	Facility		$1,021.41	$1,021.41	$2,819.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $523.54 / $1,021.41 / $1,984.26	Professional		$523.54	$1,021.41	$1,984.26