Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,608.48 / $2,155.60 / $11,609.00	Facility		$1,608.48	$2,155.60	$11,609.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,395.76 / $1,748.88 / $2,946.38	Professional		$1,395.76	$1,748.88	$2,946.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,469.93 / $1,825.40 / $4,134.85	Professional		$1,469.93	$1,825.40	$4,134.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,918.82 / $1,918.82 / $13,009.50	Facility		$1,918.82	$1,918.82	$13,009.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,918.82 / $1,918.82 / $2,387.19	Professional		$1,918.82	$1,918.82	$2,387.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,281.71 / $2,281.71 / $2,281.71	Facility		$2,281.71	$2,281.71	$2,281.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.75 / $2,568.67 / $5,800.51	Professional		$1,445.75	$2,568.67	$5,800.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,631.98 / $3,380.65	Facility		$319.00	$1,631.98	$3,380.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,960.78 / $2,651.34 / $3,703.67	Professional		$1,960.78	$2,651.34	$3,703.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.74 / $1,584.74 / $1,584.74	Facility		$1,584.74	$1,584.74	$1,584.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,267.79 / $1,712.09 / $3,515.11	Professional		$1,267.79	$1,712.09	$3,515.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $2,281.71	Facility		$555.00	$597.00	$2,281.71
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,555.53 / $2,630.20 / $5,887.56	Professional		$1,555.53	$2,630.20	$5,887.56
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 $1,560.54 / $2,228.16 / $5,334.24	Professional		$1,560.54	$2,228.16	$5,334.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,583.97 / $1,583.97 / $8,461.60	Facility		$1,583.97	$1,583.97	$8,461.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,355.01 / $2,208.50 / $3,515.11	Professional		$1,355.01	$2,208.50	$3,515.11