Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,216.15 / $4,392.00 / $11,396.00	Facility		$1,216.15	$4,392.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $930.71 / $1,144.33 / $2,779.41	Professional		$930.71	$1,144.33	$2,779.41
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 $808.36 / $1,056.69 / $2,457.00	Professional		$808.36	$1,056.69	$2,457.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,412.60 / $1,412.60 / $37,499.62	Facility		$1,412.60	$1,412.60	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,412.60 / $1,412.60 / $1,412.60	Professional		$1,412.60	$1,412.60	$1,412.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,123.78 / $1,123.78 / $1,123.78	Facility		$1,123.78	$1,123.78	$1,123.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $958.70 / $1,590.66 / $4,068.22	Professional		$958.70	$1,590.66	$4,068.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,692.64 / $3,278.40	Facility		$332.00	$1,692.64	$3,278.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,077.08 / $1,498.41 / $2,203.37	Professional		$1,077.08	$1,498.41	$2,203.37
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $924.94 / $924.94 / $924.94	Facility		$924.94	$924.94	$924.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $835.60 / $1,158.34 / $2,103.94	Professional		$835.60	$1,158.34	$2,103.94
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 $1,013.76 / $1,582.08 / $4,057.47	Professional		$1,013.76	$1,582.08	$4,057.47
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 $891.14 / $1,363.41 / $3,444.49	Professional		$891.14	$1,363.41	$3,444.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,158.34 / $1,158.34 / $3,683.91	Facility		$1,158.34	$1,158.34	$3,683.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $880.88 / $1,268.28 / $2,521.17	Professional		$880.88	$1,268.28	$2,521.17