Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,173.24 / $4,910.00 / $11,396.00	Facility		$1,173.24	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $982.93 / $1,248.23 / $3,402.50	Professional		$982.93	$1,248.23	$3,402.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,204.00 / $11,909.00	Facility		$3,283.00	$5,204.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $810.05 / $1,058.90 / $2,585.78	Professional		$810.05	$1,058.90	$2,585.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,370.69 / $1,370.69 / $37,499.62	Facility		$1,370.69	$1,370.69	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,370.69 / $1,370.69 / $1,370.69	Professional		$1,370.69	$1,370.69	$1,370.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,131.83 / $1,131.83 / $7,227.90	Facility		$1,131.83	$1,131.83	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.35 / $1,689.31 / $5,014.71	Professional		$968.35	$1,689.31	$5,014.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,675.79 / $3,126.40	Facility		$319.00	$1,675.79	$3,126.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,198.51 / $1,327.81 / $2,157.03	Professional		$1,198.51	$1,327.81	$2,157.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $791.00 / $1,137.38 / $1,808.19	Professional		$791.00	$1,137.38	$1,808.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,131.83 / $7,227.90	Facility		$555.00	$1,131.83	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,000.94 / $1,838.83 / $4,968.93	Professional		$1,000.94	$1,838.83	$4,968.93
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 $961.52 / $1,374.93 / $3,185.97	Professional		$961.52	$1,374.93	$3,185.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,137.38 / $1,137.38 / $4,024.82	Facility		$1,137.38	$1,137.38	$4,024.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $791.00 / $1,217.93 / $2,332.85	Professional		$791.00	$1,217.93	$2,332.85