Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,395.07 / $5,700.00 / $12,568.00	Facility		$1,395.07	$5,700.00	$12,568.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,001.67 / $1,325.46 / $2,326.44	Professional		$1,001.67	$1,325.46	$2,326.44
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 $863.79 / $1,129.15 / $2,712.31	Professional		$863.79	$1,129.15	$2,712.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,559.09 / $3,478.50 / $13,477.50	Facility		$1,559.09	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,559.09 / $1,559.09 / $1,559.09	Professional		$1,559.09	$1,559.09	$1,559.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,224.71 / $1,224.71 / $10,297.11	Facility		$1,224.71	$1,224.71	$10,297.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $833.73 / $1,908.67 / $3,949.59	Professional		$833.73	$1,908.67	$3,949.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,775.00 / $2,875.50	Facility		$332.00	$1,775.00	$2,875.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,250.46 / $1,463.35 / $2,189.98	Professional		$1,250.46	$1,463.35	$2,189.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $817.05 / $1,163.07 / $1,998.94	Professional		$817.05	$1,163.07	$1,998.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,224.71 / $10,297.11	Facility		$555.00	$1,224.71	$10,297.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $934.83 / $1,863.19 / $3,949.59	Professional		$934.83	$1,863.19	$3,949.59
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 $634.84 / $1,266.13 / $3,018.99	Professional		$634.84	$1,266.13	$3,018.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,163.07 / $1,163.07 / $3,572.88	Facility		$1,163.07	$1,163.07	$3,572.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $817.05 / $1,263.27 / $2,574.56	Professional		$817.05	$1,263.27	$2,574.56