Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,353.44 / $4,574.00 / $10,024.00	Facility		$1,353.44	$4,574.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,102.45 / $1,340.02 / $4,088.66	Professional		$1,102.45	$1,340.02	$4,088.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $927.66 / $1,212.64 / $2,926.16	Professional		$927.66	$1,212.64	$2,926.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,566.15 / $1,990.00 / $8,917.50	Facility		$1,566.15	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,566.15 / $1,566.15 / $1,566.15	Professional		$1,566.15	$1,566.15	$1,566.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,293.16 / $1,293.16 / $5,246.94	Facility		$1,293.16	$1,293.16	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,072.42 / $1,892.42 / $5,899.53	Professional		$1,072.42	$1,892.42	$5,899.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,914.67 / $3,209.11	Facility		$319.00	$1,914.67	$3,209.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,369.92 / $1,740.05 / $2,467.44	Professional		$1,369.92	$1,740.05	$2,467.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $837.02 / $1,298.33 / $2,064.07	Professional		$837.02	$1,298.33	$2,064.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,293.16 / $5,246.94	Facility		$555.00	$1,293.16	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,122.66 / $2,099.03 / $5,686.65	Professional		$1,122.66	$2,099.03	$5,686.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $3,972.00 / $7,939.00	Facility		$2,264.00	$3,972.00	$7,939.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,138.83 / $1,605.91 / $3,797.97	Professional		$1,138.83	$1,605.91	$3,797.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,298.33 / $1,298.33 / $4,674.91	Facility		$1,298.33	$1,298.33	$4,674.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $837.02 / $1,390.27 / $2,662.97	Professional		$837.02	$1,390.27	$2,662.97