Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.00 / $3,797.00 / $10,296.00	Facility		$1,548.00	$3,797.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.78 / $1,431.62 / $2,604.62	Professional		$1,237.78	$1,431.62	$2,604.62
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 $1,155.41 / $1,465.04 / $3,106.24	Professional		$1,155.41	$1,465.04	$3,106.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,960.02 / $1,960.02 / $8,917.50	Facility		$1,960.02	$1,960.02	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,960.02 / $1,960.02 / $1,960.02	Professional		$1,960.02	$1,960.02	$1,960.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,534.81 / $1,534.81 / $1,534.81	Facility		$1,534.81	$1,534.81	$1,534.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,308.13 / $2,005.16 / $5,095.50	Professional		$1,308.13	$2,005.16	$5,095.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,458.59 / $3,596.81	Facility		$332.00	$1,458.59	$3,596.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,482.56 / $2,091.84 / $3,085.26	Professional		$1,482.56	$2,091.84	$3,085.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,273.13 / $1,273.13 / $1,273.13	Facility		$1,273.13	$1,273.13	$1,273.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,036.73 / $1,382.68 / $2,869.51	Professional		$1,036.73	$1,382.68	$2,869.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,534.81	Facility		$555.00	$597.00	$1,534.81
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,400.95 / $2,021.38 / $4,729.35	Professional		$1,400.95	$2,021.38	$4,729.35
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 $1,222.35 / $1,730.48 / $4,242.60	Professional		$1,222.35	$1,730.48	$4,242.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,626.68 / $1,626.68 / $5,385.24	Facility		$1,626.68	$1,626.68	$5,385.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,106.15 / $1,774.23 / $3,438.55	Professional		$1,106.15	$1,774.23	$3,438.55