Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,559.61 / $5,012.00 / $11,161.00	Facility		$1,559.61	$5,012.00	$11,161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.08 / $1,289.38 / $2,363.62	Professional		$1,133.08	$1,289.38	$2,363.62
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 $1,048.09 / $1,370.07 / $2,993.62	Professional		$1,048.09	$1,370.07	$2,993.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,752.55 / $1,752.55 / $12,319.50	Facility		$1,752.55	$1,752.55	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,752.55 / $1,752.55 / $1,752.55	Professional		$1,752.55	$1,752.55	$1,752.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,381.30 / $1,381.30 / $1,381.30	Facility		$1,381.30	$1,381.30	$1,381.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,188.80 / $2,001.00 / $4,636.35	Professional		$1,188.80	$2,001.00	$4,636.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,600.00 / $3,146.83	Facility		$332.00	$1,600.00	$3,146.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,343.95 / $1,842.66 / $2,699.28	Professional		$1,343.95	$1,842.66	$2,699.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,154.09 / $1,154.09 / $1,154.09	Facility		$1,154.09	$1,154.09	$1,154.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.87 / $1,251.08 / $2,596.41	Professional		$1,000.87	$1,251.08	$2,596.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,381.30	Facility		$555.00	$597.00	$1,381.30
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,246.89 / $1,833.25 / $4,326.29	Professional		$1,246.89	$1,833.25	$4,326.29
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 $1,120.07 / $1,555.65 / $3,867.22	Professional		$1,120.07	$1,555.65	$3,867.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,471.87 / $1,471.87 / $5,641.02	Facility		$1,471.87	$1,471.87	$5,641.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,047.01 / $1,608.35 / $3,111.29	Professional		$1,047.01	$1,608.35	$3,111.29