Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,403.33 / $3,722.76 / $10,170.00	Facility		$1,403.33	$3,722.76	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,102.00 / $1,288.32 / $2,461.06	Professional		$1,102.00	$1,288.32	$2,461.06
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 $1,021.06 / $1,334.72 / $3,015.09	Professional		$1,021.06	$1,334.72	$3,015.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,745.13 / $1,745.13 / $13,009.50	Facility		$1,745.13	$1,745.13	$13,009.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,745.13 / $1,745.13 / $1,745.13	Professional		$1,745.13	$1,745.13	$1,745.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,398.29 / $1,398.29 / $1,398.29	Facility		$1,398.29	$1,398.29	$1,398.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,206.99 / $1,846.81 / $4,571.16	Professional		$1,206.99	$1,846.81	$4,571.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,527.00 / $3,276.56	Facility		$332.00	$1,527.00	$3,276.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,351.23 / $1,905.17 / $2,810.56	Professional		$1,351.23	$1,905.17	$2,810.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,160.35 / $1,160.35 / $1,160.35	Facility		$1,160.35	$1,160.35	$1,160.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $965.70 / $1,478.46 / $2,608.04	Professional		$965.70	$1,478.46	$2,608.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,398.29	Facility		$555.00	$597.00	$1,398.29
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,265.01 / $1,846.81 / $4,315.07	Professional		$1,265.01	$1,846.81	$4,315.07
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 $1,112.00 / $1,606.09 / $3,813.37	Professional		$1,112.00	$1,606.09	$3,813.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,478.46 / $1,478.46 / $5,228.28	Facility		$1,478.46	$1,478.46	$5,228.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,005.35 / $1,537.60 / $3,125.22	Professional		$1,005.35	$1,537.60	$3,125.22