Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,265.41 / $5,411.00 / $13,136.96	Facility		$1,265.41	$5,411.00	$13,136.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.86 / $1,238.76 / $2,211.06	Professional		$961.86	$1,238.76	$2,211.06
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 $830.59 / $1,085.75 / $2,533.39	Professional		$830.59	$1,085.75	$2,533.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,465.90 / $3,478.50 / $13,477.50	Facility		$1,465.90	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,465.90 / $1,465.90 / $1,465.90	Professional		$1,465.90	$1,465.90	$1,465.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,144.56 / $1,144.56 / $10,297.11	Facility		$1,144.56	$1,144.56	$10,297.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $797.43 / $1,823.97 / $3,738.76	Professional		$797.43	$1,823.97	$3,738.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,500.00 / $2,634.23	Facility		$332.00	$1,500.00	$2,634.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,170.77 / $1,370.79 / $2,051.44	Professional		$1,170.77	$1,370.79	$2,051.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $784.14 / $1,087.41 / $1,868.90	Professional		$784.14	$1,087.41	$1,868.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,144.56 / $10,297.11	Facility		$555.00	$1,144.56	$10,297.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $897.35 / $1,784.78 / $3,738.48	Professional		$897.35	$1,784.78	$3,738.48
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 $634.75 / $1,260.44 / $3,143.00	Professional		$634.75	$1,260.44	$3,143.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,087.41 / $1,087.41 / $3,455.00	Facility		$1,087.41	$1,087.41	$3,455.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $784.14 / $1,183.34 / $2,407.07	Professional		$784.14	$1,183.34	$2,407.07