Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,480.19 / $5,250.00 / $11,996.00	Facility		$1,480.19	$5,250.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,080.43 / $1,408.19 / $2,984.77	Professional		$1,080.43	$1,408.19	$2,984.77
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 $857.09 / $1,104.51 / $2,880.85	Professional		$857.09	$1,104.51	$2,880.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,652.68 / $2,644.00 / $12,319.50	Facility		$1,652.68	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,652.68 / $1,652.68 / $1,652.68	Professional		$1,652.68	$1,652.68	$1,652.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,307.33 / $1,307.33 / $7,289.38	Facility		$1,307.33	$1,307.33	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $884.09 / $2,062.33 / $4,198.28	Professional		$884.09	$2,062.33	$4,198.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,972.83 / $3,379.32	Facility		$332.00	$1,972.83	$3,379.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,332.78 / $1,563.17 / $2,339.37	Professional		$1,332.78	$1,563.17	$2,339.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $873.27 / $1,238.36 / $2,128.36	Professional		$873.27	$1,238.36	$2,128.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,307.33 / $36,596.00	Facility		$597.00	$1,307.33	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,006.02 / $1,985.84 / $4,247.32	Professional		$1,006.02	$1,985.84	$4,247.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $14,770.00	Facility		$2,337.00	$6,450.00	$14,770.00
United Facility/Professional Professional Modifier Low / Median / High Price $708.22 / $1,416.55 / $3,558.39	Professional		$708.22	$1,416.55	$3,558.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,238.36 / $1,238.36 / $3,931.92	Facility		$1,238.36	$1,238.36	$3,931.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $873.27 / $1,349.44 / $2,741.24	Professional		$873.27	$1,349.44	$2,741.24