Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,363.49 / $4,905.00 / $11,161.00	Facility		$1,363.49	$4,905.00	$11,161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,068.89 / $1,234.57 / $2,327.31	Professional		$1,068.89	$1,234.57	$2,327.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,359.00 / $12,869.00	Facility		$4,079.00	$7,359.00	$12,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $871.33 / $1,139.00 / $2,847.71	Professional		$871.33	$1,139.00	$2,847.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,531.57 / $1,531.57 / $37,499.62	Facility		$1,531.57	$1,531.57	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,531.57 / $1,531.57 / $1,531.57	Professional		$1,531.57	$1,531.57	$1,531.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,221.35 / $1,221.35 / $1,221.35	Facility		$1,221.35	$1,221.35	$1,221.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,069.83 / $1,760.78 / $3,962.09	Professional		$1,069.83	$1,760.78	$3,962.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,293.00 / $2,831.90	Facility		$332.00	$1,293.00	$2,831.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,183.44 / $1,651.71 / $2,429.14	Professional		$1,183.44	$1,651.71	$2,429.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,016.26 / $1,016.26 / $1,016.26	Facility		$1,016.26	$1,016.26	$1,016.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $987.90 / $1,295.90 / $2,302.27	Professional		$987.90	$1,295.90	$2,302.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,221.35	Facility		$555.00	$597.00	$1,221.35
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,061.29 / $1,638.92 / $3,873.51	Professional		$1,061.29	$1,638.92	$3,873.51
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 $945.56 / $1,329.54 / $3,370.46	Professional		$945.56	$1,329.54	$3,370.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,305.11 / $1,305.11 / $4,991.99	Facility		$1,305.11	$1,305.11	$4,991.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $990.21 / $1,357.33 / $2,758.82	Professional		$990.21	$1,357.33	$2,758.82