Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,337.36 / $5,845.00 / $14,926.00	Facility		$1,337.36	$5,845.00	$14,926.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $967.04 / $1,246.32 / $2,671.84	Professional		$967.04	$1,246.32	$2,671.84
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 $838.47 / $1,096.04 / $2,555.96	Professional		$838.47	$1,096.04	$2,555.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,468.54 / $3,478.50 / $13,477.50	Facility		$1,468.54	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,468.54 / $1,468.54 / $1,468.54	Professional		$1,468.54	$1,468.54	$1,468.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,161.34 / $1,161.34 / $10,297.11	Facility		$1,161.34	$1,161.34	$10,297.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $801.53 / $1,837.94 / $3,758.02	Professional		$801.53	$1,837.94	$3,758.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,752.87 / $3,055.32	Facility		$332.00	$1,752.87	$3,055.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,184.16 / $1,388.88 / $2,078.53	Professional		$1,184.16	$1,388.88	$2,078.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $789.04 / $1,098.79 / $1,888.47	Professional		$789.04	$1,098.79	$1,888.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,161.34 / $10,297.11	Facility		$555.00	$1,161.34	$10,297.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $900.29 / $1,788.62 / $3,788.57	Professional		$900.29	$1,788.62	$3,788.57
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 $637.29 / $1,275.03 / $2,864.69	Professional		$637.29	$1,275.03	$2,864.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,098.79 / $1,098.79 / $3,438.83	Facility		$1,098.79	$1,098.79	$3,438.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $789.04 / $1,198.98 / $2,432.27	Professional		$789.04	$1,198.98	$2,432.27