Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,363.26 / $3,841.00 / $9,038.00	Facility		$1,363.26	$3,841.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,034.97 / $1,267.46 / $2,099.39	Professional		$1,034.97	$1,267.46	$2,099.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $958.04 / $1,252.33 / $2,913.11	Professional		$958.04	$1,252.33	$2,913.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,668.96 / $1,716.00 / $6,213.00	Facility		$1,668.96	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,668.96 / $1,668.96 / $1,668.96	Professional		$1,668.96	$1,668.96	$1,668.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,379.69 / $1,379.69 / $1,379.69	Facility		$1,379.69	$1,379.69	$1,379.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,208.29 / $1,848.92 / $4,632.64	Professional		$1,208.29	$1,848.92	$4,632.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,530.00 / $3,421.37	Facility		$332.00	$1,530.00	$3,421.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,330.51 / $1,915.29 / $2,934.78	Professional		$1,330.51	$1,915.29	$2,934.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,118.89 / $1,118.89 / $1,118.89	Facility		$1,118.89	$1,118.89	$1,118.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $902.24 / $1,215.41 / $2,522.35	Professional		$902.24	$1,215.41	$2,522.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,379.69	Facility		$555.00	$597.00	$1,379.69
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,181.50 / $1,848.92 / $4,249.99	Professional		$1,181.50	$1,848.92	$4,249.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,056.96 / $1,565.82 / $3,871.18	Professional		$1,056.96	$1,565.82	$3,871.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,429.89 / $1,429.89 / $3,433.47	Facility		$1,429.89	$1,429.89	$3,433.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $972.32 / $1,559.28 / $3,022.55	Professional		$972.32	$1,559.28	$3,022.55