Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,459.32 / $4,792.00 / $12,875.00	Facility		$1,459.32	$4,792.00	$12,875.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $978.05 / $1,217.88 / $2,919.18	Professional		$978.05	$1,217.88	$2,919.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,264.00 / $12,538.00	Facility		$4,046.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $979.43 / $1,280.31 / $2,854.47	Professional		$979.43	$1,280.31	$2,854.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,501.14 / $1,990.00 / $8,917.50	Facility		$1,501.14	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,501.14 / $1,501.14 / $1,501.14	Professional		$1,501.14	$1,501.14	$1,501.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,223.35 / $1,223.35 / $1,223.35	Facility		$1,223.35	$1,223.35	$1,223.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,029.60 / $1,710.35 / $4,719.67	Professional		$1,029.60	$1,710.35	$4,719.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,162.20 / $2,911.23	Facility		$332.00	$1,162.20	$2,911.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,169.00 / $1,683.23 / $2,497.19	Professional		$1,169.00	$1,683.23	$2,497.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,003.86 / $1,003.86 / $1,003.86	Facility		$1,003.86	$1,003.86	$1,003.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $869.25 / $1,244.52 / $2,260.46	Professional		$869.25	$1,244.52	$2,260.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $36,596.00	Facility		$555.00	$597.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,099.80 / $1,710.17 / $4,395.92	Professional		$1,099.80	$1,710.17	$4,395.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $15,611.00	Facility		$2,264.00	$5,963.00	$15,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $937.16 / $1,462.05 / $3,631.31	Professional		$937.16	$1,462.05	$3,631.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,244.52 / $1,244.52 / $4,602.53	Facility		$1,244.52	$1,244.52	$4,602.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $871.37 / $1,376.49 / $2,708.74	Professional		$871.37	$1,376.49	$2,708.74