Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,559.16 / $5,157.00 / $11,396.00	Facility		$1,559.16	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,158.40 / $1,328.81 / $2,456.83	Professional		$1,158.40	$1,328.81	$2,456.83
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 $1,045.83 / $1,367.10 / $2,988.29	Professional		$1,045.83	$1,367.10	$2,988.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,799.75 / $1,799.75 / $37,499.62	Facility		$1,799.75	$1,799.75	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,799.75 / $1,799.75 / $1,799.75	Professional		$1,799.75	$1,799.75	$1,799.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,437.35 / $1,437.35 / $1,437.35	Facility		$1,437.35	$1,437.35	$1,437.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,244.68 / $1,929.71 / $4,721.21	Professional		$1,244.68	$1,929.71	$4,721.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,684.00 / $3,365.73	Facility		$332.00	$1,684.00	$3,365.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,388.02 / $1,956.83 / $2,887.05	Professional		$1,388.02	$1,956.83	$2,887.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,191.95 / $1,191.95 / $1,191.95	Facility		$1,191.95	$1,191.95	$1,191.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,035.03 / $1,519.98 / $2,681.29	Professional		$1,035.03	$1,519.98	$2,681.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,437.35	Facility		$555.00	$597.00	$1,437.35
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,301.96 / $1,925.95 / $4,405.38	Professional		$1,301.96	$1,925.95	$4,405.38
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 $1,144.49 / $1,589.56 / $3,923.33	Professional		$1,144.49	$1,589.56	$3,923.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,519.98 / $1,519.98 / $5,562.09	Facility		$1,519.98	$1,519.98	$5,562.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,037.83 / $1,661.11 / $3,213.00	Professional		$1,037.83	$1,661.11	$3,213.00