Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $987.02 / $1,244.84 / $3,216.39	Facility		$987.02	$1,244.84	$3,216.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $890.96 / $1,137.58 / $3,118.81	Professional		$890.96	$1,137.58	$3,118.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,631.88 / $6,722.82 / $12,670.46	Facility		$4,631.88	$6,722.82	$12,670.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,214.70 / $1,518.38 / $3,007.88	Professional		$1,214.70	$1,518.38	$3,007.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,309.51 / $1,309.51 / $37,499.62	Facility		$1,309.51	$1,309.51	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,309.51 / $1,309.51 / $1,309.51	Professional		$1,309.51	$1,309.51	$1,309.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,076.75 / $1,076.75 / $7,227.90	Facility		$1,076.75	$1,076.75	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,055.57 / $1,923.81 / $4,134.04	Professional		$1,055.57	$1,923.81	$4,134.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,566.63 / $2,776.00	Facility		$319.00	$1,566.63	$2,776.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,035.00 / $1,850.00 / $4,667.34	Professional		$1,035.00	$1,850.00	$4,667.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.00 / $995.33 / $1,719.68	Professional		$753.00	$995.33	$1,719.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,076.75 / $7,227.90	Facility		$555.00	$1,076.75	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,136.29 / $1,877.82 / $4,078.88	Professional		$1,136.29	$1,877.82	$4,078.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $928.99 / $1,420.03 / $2,999.71	Professional		$928.99	$1,420.03	$2,999.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,000.99 / $1,000.99 / $3,581.11	Facility		$1,000.99	$1,000.99	$3,581.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $846.50 / $1,000.99 / $1,944.59	Professional		$846.50	$1,000.99	$1,944.59