Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,394.01 / $5,157.00 / $11,396.00	Facility		$1,394.01	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,061.68 / $1,237.01 / $2,095.23	Professional		$1,061.68	$1,237.01	$2,095.23
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 $872.75 / $1,140.85 / $2,714.72	Professional		$872.75	$1,140.85	$2,714.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,528.95 / $1,528.95 / $37,499.62	Facility		$1,528.95	$1,528.95	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,528.95 / $1,528.95 / $1,528.95	Professional		$1,528.95	$1,528.95	$1,528.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,243.70 / $1,243.70 / $1,243.70	Facility		$1,243.70	$1,243.70	$1,243.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,103.00 / $1,752.95 / $3,902.70	Professional		$1,103.00	$1,752.95	$3,902.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,583.00 / $2,838.08	Facility		$332.00	$1,583.00	$2,838.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,192.07 / $1,655.67 / $2,434.44	Professional		$1,192.07	$1,655.67	$2,434.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.67 / $1,023.67 / $1,023.67	Facility		$1,023.67	$1,023.67	$1,023.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $961.98 / $1,117.56 / $2,319.30	Professional		$961.98	$1,117.56	$2,319.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,243.70	Facility		$555.00	$597.00	$1,243.70
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,121.30 / $1,664.50 / $3,762.33	Professional		$1,121.30	$1,664.50	$3,762.33
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 $953.11 / $1,327.00 / $3,133.92	Professional		$953.11	$1,327.00	$3,133.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,314.78 / $1,314.78 / $5,321.88	Facility		$1,314.78	$1,314.78	$5,321.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,010.03 / $1,426.58 / $2,779.23	Professional		$1,010.03	$1,426.58	$2,779.23