Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,144.25 / $3,950.63 / $10,296.00	Facility		$1,144.25	$3,950.63	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.79 / $1,225.19 / $2,379.42	Professional		$833.79	$1,225.19	$2,379.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,359.00 / $12,869.00	Facility		$4,079.00	$7,359.00	$12,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $895.02 / $1,111.47 / $2,250.65	Professional		$895.02	$1,111.47	$2,250.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,513.54 / $1,513.54 / $37,499.62	Facility		$1,513.54	$1,513.54	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,513.54 / $1,513.54 / $1,513.54	Professional		$1,513.54	$1,513.54	$1,513.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,249.74 / $1,249.74 / $1,249.74	Facility		$1,249.74	$1,249.74	$1,249.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $982.41 / $1,530.41 / $4,494.09	Professional		$982.41	$1,530.41	$4,494.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,820.47 / $3,097.78	Facility		$332.00	$1,820.47	$3,097.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,177.74 / $1,699.10 / $2,657.20	Professional		$1,177.74	$1,699.10	$2,657.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,011.37 / $1,011.37 / $1,011.37	Facility		$1,011.37	$1,011.37	$1,011.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.67 / $1,256.01 / $2,281.33	Professional		$676.67	$1,256.01	$2,281.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,249.74	Facility		$555.00	$597.00	$1,249.74
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,068.52 / $1,524.83 / $4,318.14	Professional		$1,068.52	$1,524.83	$4,318.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,603.00	Facility		$1,749.00	$4,194.00	$9,603.00
United Facility/Professional Professional Modifier Low / Median / High Price $890.02 / $1,466.18 / $3,454.53	Professional		$890.02	$1,466.18	$3,454.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,256.01 / $1,256.01 / $3,721.18	Facility		$1,256.01	$1,256.01	$3,721.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $724.37 / $1,386.79 / $2,733.73	Professional		$724.37	$1,386.79	$2,733.73