Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,124.46 / $5,324.00 / $10,686.00	Facility		$1,124.46	$5,324.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $804.75 / $1,107.29 / $1,600.78	Professional		$804.75	$1,107.29	$1,600.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $9,519.00 / $23,671.00	Facility		$4,977.00	$9,519.00	$23,671.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $938.92 / $1,165.98 / $2,640.78	Professional		$938.92	$1,165.98	$2,640.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,746.83 / $1,746.83 / $37,499.62	Facility		$1,746.83	$1,746.83	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,746.83 / $1,746.83 / $1,746.83	Professional		$1,746.83	$1,746.83	$1,746.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,404.20 / $1,404.20 / $7,227.90	Facility		$1,404.20	$1,404.20	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,109.10 / $1,109.10 / $1,109.10	Professional		$1,109.10	$1,109.10	$1,109.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,357.00 / $3,322.33	Facility		$319.00	$1,357.00	$3,322.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,421.18 / $1,730.00 / $2,554.50	Professional		$1,421.18	$1,730.00	$2,554.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,141.23 / $1,141.23 / $1,141.23	Facility		$1,141.23	$1,141.23	$1,141.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $915.34 / $1,436.50 / $2,451.23	Professional		$915.34	$1,436.50	$2,451.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,404.20 / $1,404.20 / $7,227.90	Facility		$1,404.20	$1,404.20	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,109.10 / $1,240.66 / $2,676.73	Professional		$1,109.10	$1,240.66	$2,676.73
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,020.04	Facility		$996.00	$4,194.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $953.10 / $1,333.58 / $3,054.91	Professional		$953.10	$1,333.58	$3,054.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,311.06 / $1,311.06 / $1,311.06	Facility		$1,311.06	$1,311.06	$1,311.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,031.97 / $1,311.06 / $2,461.69	Professional		$1,031.97	$1,311.06	$2,461.69