Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,572.89 / $5,700.00 / $12,568.00	Facility		$1,572.89	$5,700.00	$12,568.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,144.29 / $1,535.90 / $3,258.63	Professional		$1,144.29	$1,535.90	$3,258.63
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 $978.02 / $1,278.47 / $3,130.46	Professional		$978.02	$1,278.47	$3,130.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,794.44 / $3,478.50 / $13,477.50	Facility		$1,794.44	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,794.44 / $1,794.44 / $1,794.44	Professional		$1,794.44	$1,794.44	$1,794.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,411.49 / $1,411.49 / $10,297.11	Facility		$1,411.49	$1,411.49	$10,297.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.47 / $2,154.44 / $4,557.43	Professional		$968.47	$2,154.44	$4,557.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,620.00 / $3,264.77	Facility		$332.00	$1,620.00	$3,264.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,451.01 / $1,692.89 / $2,533.50	Professional		$1,451.01	$1,692.89	$2,533.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $940.33 / $1,338.92 / $2,301.17	Professional		$940.33	$1,338.92	$2,301.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,411.49 / $10,297.11	Facility		$555.00	$1,411.49	$10,297.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,071.01 / $2,125.04 / $4,557.43	Professional		$1,071.01	$2,125.04	$4,557.43
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 $751.65 / $1,551.44 / $3,862.30	Professional		$751.65	$1,551.44	$3,862.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,338.92 / $1,338.92 / $4,089.92	Facility		$1,338.92	$1,338.92	$4,089.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $940.33 / $1,461.42 / $2,963.82	Professional		$940.33	$1,461.42	$2,963.82