Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,632.00 / $4,629.00 / $10,674.00	Facility		$1,632.00	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,225.00 / $1,443.03 / $2,547.62	Professional		$1,225.00	$1,443.03	$2,547.62
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 $1,167.08 / $1,525.61 / $3,258.26	Professional		$1,167.08	$1,525.61	$3,258.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,932.34 / $1,932.34 / $37,499.62	Facility		$1,932.34	$1,932.34	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,932.34 / $1,932.34 / $1,932.34	Professional		$1,932.34	$1,932.34	$1,932.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,490.92 / $1,490.92 / $1,490.92	Facility		$1,490.92	$1,490.92	$1,490.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,290.80 / $2,099.56 / $4,932.84	Professional		$1,290.80	$2,099.56	$4,932.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,845.00 / $3,416.83	Facility		$332.00	$1,845.00	$3,416.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,452.74 / $1,999.77 / $2,930.88	Professional		$1,452.74	$1,999.77	$2,930.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,247.52 / $1,247.52 / $1,247.52	Facility		$1,247.52	$1,247.52	$1,247.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,086.65 / $1,595.68 / $2,814.82	Professional		$1,086.65	$1,595.68	$2,814.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,490.92	Facility		$555.00	$597.00	$1,490.92
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,366.73 / $2,036.61 / $4,794.10	Professional		$1,366.73	$2,036.61	$4,794.10
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 $1,205.27 / $1,706.08 / $4,222.79	Professional		$1,205.27	$1,706.08	$4,222.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,595.68 / $1,595.68 / $6,176.30	Facility		$1,595.68	$1,595.68	$6,176.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,177.16 / $1,738.54 / $3,373.01	Professional		$1,177.16	$1,738.54	$3,373.01