Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,564.89 / $2,122.25 / $11,609.00	Facility		$1,564.89	$2,122.25	$11,609.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,342.59 / $1,649.02 / $2,856.05	Professional		$1,342.59	$1,649.02	$2,856.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.00 / $7,631.00 / $14,193.00	Facility		$4,464.00	$7,631.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,437.29 / $1,784.87 / $3,942.41	Professional		$1,437.29	$1,784.87	$3,942.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,848.57 / $1,848.57 / $13,009.50	Facility		$1,848.57	$1,848.57	$13,009.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,848.57 / $1,848.57 / $2,253.92	Professional		$1,848.57	$1,848.57	$2,253.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,222.92 / $2,222.92 / $2,222.92	Facility		$2,222.92	$2,222.92	$2,222.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,385.27 / $2,480.42 / $5,586.96	Professional		$1,385.27	$2,480.42	$5,586.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,587.96 / $3,284.80	Facility		$319.00	$1,587.96	$3,284.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,852.76 / $2,501.28 / $3,497.84	Professional		$1,852.76	$2,501.28	$3,497.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.24 / $1,500.24 / $1,500.24	Facility		$1,500.24	$1,500.24	$1,500.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,200.19 / $1,666.27 / $3,337.98	Professional		$1,200.19	$1,666.27	$3,337.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $2,222.92	Facility		$555.00	$597.00	$2,222.92
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,480.60 / $2,520.81 / $5,759.86	Professional		$1,480.60	$2,520.81	$5,759.86
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 $1,492.90 / $2,089.67 / $5,091.72	Professional		$1,492.90	$2,089.67	$5,091.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,539.63 / $1,539.63 / $8,361.10	Facility		$1,539.63	$1,539.63	$8,361.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,286.73 / $2,090.73 / $3,337.98	Professional		$1,286.73	$2,090.73	$3,337.98