Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,239.68 / $3,599.00 / $10,152.00	Facility		$1,239.68	$3,599.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $946.09 / $1,165.64 / $2,397.59	Professional		$946.09	$1,165.64	$2,397.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $7,264.00 / $12,274.00	Facility		$4,070.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $833.40 / $1,089.42 / $2,515.86	Professional		$833.40	$1,089.42	$2,515.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,447.95 / $1,447.95 / $8,917.50	Facility		$1,447.95	$1,447.95	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,447.95 / $1,447.95 / $1,447.95	Professional		$1,447.95	$1,447.95	$1,447.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,155.38 / $1,155.38 / $7,289.38	Facility		$1,155.38	$1,155.38	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.03 / $1,656.17 / $4,701.20	Professional		$916.03	$1,656.17	$4,701.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,099.08 / $2,723.09	Facility		$332.00	$1,099.08	$2,723.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,099.08 / $1,476.52 / $2,335.80	Professional		$1,099.08	$1,476.52	$2,335.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $956.46 / $956.46 / $956.46	Facility		$956.46	$956.46	$956.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $686.31 / $1,186.02 / $2,049.50	Professional		$686.31	$1,186.02	$2,049.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,155.38 / $36,596.00	Facility		$555.00	$1,155.38	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,019.17 / $1,645.31 / $4,313.42	Professional		$1,019.17	$1,645.31	$4,313.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $6,450.00 / $15,611.00	Facility		$2,264.00	$6,450.00	$15,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $911.30 / $1,429.76 / $3,320.56	Professional		$911.30	$1,429.76	$3,320.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,186.02 / $1,186.02 / $3,266.55	Facility		$1,186.02	$1,186.02	$3,266.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $686.31 / $1,241.67 / $2,432.61	Professional		$686.31	$1,241.67	$2,432.61