Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,360.33 / $3,951.00 / $10,170.00	Facility		$1,360.33	$3,951.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $990.92 / $1,228.34 / $2,933.37	Professional		$990.92	$1,228.34	$2,933.37
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 $800.38 / $1,046.25 / $2,557.65	Professional		$800.38	$1,046.25	$2,557.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,523.28 / $1,716.00 / $6,213.00	Facility		$1,523.28	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,523.28 / $1,523.28 / $1,523.28	Professional		$1,523.28	$1,523.28	$1,523.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,222.09 / $1,222.09 / $1,222.09	Facility		$1,222.09	$1,222.09	$1,222.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,014.74 / $1,711.73 / $4,567.41	Professional		$1,014.74	$1,711.73	$4,567.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,310.00 / $2,868.46	Facility		$332.00	$1,310.00	$2,868.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,173.41 / $1,664.69 / $2,460.50	Professional		$1,173.41	$1,664.69	$2,460.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,007.65 / $1,007.65 / $1,007.65	Facility		$1,007.65	$1,007.65	$1,007.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $874.67 / $1,249.23 / $2,269.03	Professional		$874.67	$1,249.23	$2,269.03
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 $1,094.52 / $1,691.76 / $4,399.43	Professional		$1,094.52	$1,691.76	$4,399.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $5,547.00 / $14,457.00	Facility		$2,705.00	$5,547.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $962.13 / $1,469.99 / $3,875.42	Professional		$962.13	$1,469.99	$3,875.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,249.23 / $1,249.23 / $4,821.34	Facility		$1,249.23	$1,249.23	$4,821.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $908.79 / $1,381.69 / $2,718.98	Professional		$908.79	$1,381.69	$2,718.98