Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,223.94 / $4,043.00 / $10,296.00	Facility		$1,223.94	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.65 / $1,230.32 / $2,427.08	Professional		$815.65	$1,230.32	$2,427.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $973.53 / $1,208.96 / $2,527.03	Professional		$973.53	$1,208.96	$2,527.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,653.68 / $1,653.68 / $10,957.50	Facility		$1,653.68	$1,653.68	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,653.68 / $1,653.68 / $1,653.68	Professional		$1,653.68	$1,653.68	$1,653.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,366.34 / $1,366.34 / $1,366.34	Facility		$1,366.34	$1,366.34	$1,366.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,036.43 / $1,676.34 / $4,917.60	Professional		$1,036.43	$1,676.34	$4,917.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,316.20 / $3,386.45	Facility		$332.00	$1,316.20	$3,386.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.65 / $1,859.10 / $2,904.82	Professional		$1,288.65	$1,859.10	$2,904.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,106.60 / $1,106.60 / $1,106.60	Facility		$1,106.60	$1,106.60	$1,106.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $784.97 / $1,168.33 / $2,496.58	Professional		$784.97	$1,168.33	$2,496.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,366.34	Facility		$555.00	$597.00	$1,366.34
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,169.22 / $1,713.45 / $4,646.89	Professional		$1,169.22	$1,713.45	$4,646.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,182.84 / $8,312.00	Facility		$1,768.00	$4,182.84	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.07 / $1,624.58 / $4,309.87	Professional		$1,028.07	$1,624.58	$4,309.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,374.51 / $1,374.51 / $4,222.01	Facility		$1,374.51	$1,374.51	$4,222.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $787.49 / $1,517.38 / $2,991.67	Professional		$787.49	$1,517.38	$2,991.67