Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,533.52 / $5,700.00 / $12,568.00	Facility		$1,533.52	$5,700.00	$12,568.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,113.79 / $1,501.31 / $3,184.56	Professional		$1,113.79	$1,501.31	$3,184.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.68 / $1,247.95 / $3,058.55	Professional		$954.68	$1,247.95	$3,058.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,753.48 / $3,478.50 / $13,477.50	Facility		$1,753.48	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,753.48 / $1,753.48 / $1,753.48	Professional		$1,753.48	$1,753.48	$1,753.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,379.06 / $1,379.06 / $10,297.11	Facility		$1,379.06	$1,379.06	$10,297.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $946.00 / $2,099.88 / $4,453.84	Professional		$946.00	$2,099.88	$4,453.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,832.00 / $3,192.12	Facility		$332.00	$1,832.00	$3,192.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,418.72 / $1,654.49 / $2,476.04	Professional		$1,418.72	$1,654.49	$2,476.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $917.47 / $1,308.09 / $2,248.19	Professional		$917.47	$1,308.09	$2,248.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,379.06 / $10,297.11	Facility		$555.00	$1,379.06	$10,297.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,042.73 / $2,075.02 / $4,453.84	Professional		$1,042.73	$2,075.02	$4,453.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $708.32 / $1,475.50 / $3,465.88	Professional		$708.32	$1,475.50	$3,465.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,308.09 / $1,308.09 / $3,980.04	Facility		$1,308.09	$1,308.09	$3,980.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $917.47 / $1,428.28 / $2,895.59	Professional		$917.47	$1,428.28	$2,895.59