Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,512.68 / $3,818.00 / $9,038.00	Facility		$1,512.68	$3,818.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,164.01 / $1,361.39 / $2,886.14	Professional		$1,164.01	$1,361.39	$2,886.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,264.00 / $12,538.00	Facility		$4,046.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,059.90 / $1,385.50 / $3,003.64	Professional		$1,059.90	$1,385.50	$3,003.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,716.00 / $1,789.29 / $6,213.00	Facility		$1,716.00	$1,789.29	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,789.29 / $1,789.29 / $1,789.29	Professional		$1,789.29	$1,789.29	$1,789.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,370.78 / $1,370.78 / $1,370.78	Facility		$1,370.78	$1,370.78	$1,370.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,199.59 / $1,963.55 / $4,569.04	Professional		$1,199.59	$1,963.55	$4,569.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,282.58 / $3,116.07	Facility		$332.00	$1,282.58	$3,116.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,328.92 / $1,823.47 / $2,672.90	Professional		$1,328.92	$1,823.47	$2,672.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,141.20 / $1,141.20 / $1,141.20	Facility		$1,141.20	$1,141.20	$1,141.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,056.19 / $1,451.96 / $2,561.30	Professional		$1,056.19	$1,451.96	$2,561.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,370.78	Facility		$555.00	$597.00	$1,370.78
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,283.94 / $1,918.70 / $4,417.24	Professional		$1,283.94	$1,918.70	$4,417.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,140.08 / $1,564.86 / $3,816.06	Professional		$1,140.08	$1,564.86	$3,816.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,451.96 / $1,451.96 / $5,511.04	Facility		$1,451.96	$1,451.96	$5,511.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,100.51 / $1,590.37 / $3,069.22	Professional		$1,100.51	$1,590.37	$3,069.22