Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.00 / $4,827.00 / $10,930.11	Facility		$1,548.00	$4,827.00	$10,930.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,207.86 / $1,395.83 / $3,448.02	Professional		$1,207.86	$1,395.83	$3,448.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,417.00 / $18,161.00	Facility		$4,046.00	$7,417.00	$18,161.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,110.23 / $1,451.29 / $3,220.71	Professional		$1,110.23	$1,451.29	$3,220.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,892.87 / $1,892.87 / $10,957.50	Facility		$1,892.87	$1,892.87	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,892.87 / $1,892.87 / $1,892.87	Professional		$1,892.87	$1,892.87	$1,892.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,491.55 / $1,491.55 / $1,491.55	Facility		$1,491.55	$1,491.55	$1,491.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,286.93 / $2,094.82 / $4,904.29	Professional		$1,286.93	$2,094.82	$4,904.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,656.00 / $3,409.36	Facility		$332.00	$1,656.00	$3,409.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,453.33 / $1,995.99 / $2,924.47	Professional		$1,453.33	$1,995.99	$2,924.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,248.03 / $1,248.03 / $1,248.03	Facility		$1,248.03	$1,248.03	$1,248.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,094.25 / $1,593.00 / $2,810.09	Professional		$1,094.25	$1,593.00	$2,810.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,491.55	Facility		$555.00	$597.00	$1,491.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,355.24 / $2,002.53 / $4,681.28	Professional		$1,355.24	$2,002.53	$4,681.28
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 $1,157.65 / $1,671.45 / $3,981.73	Professional		$1,157.65	$1,671.45	$3,981.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,593.00 / $1,593.00 / $6,004.12	Facility		$1,593.00	$1,593.00	$6,004.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,125.23 / $1,739.26 / $3,367.35	Professional		$1,125.23	$1,739.26	$3,367.35