Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,593.03 / $5,157.00 / $11,396.00	Facility		$1,593.03	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,161.13 / $1,367.14 / $2,370.42	Professional		$1,161.13	$1,367.14	$2,370.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,168.00	Facility		$3,283.00	$5,434.00	$12,168.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,006.83 / $1,316.12 / $2,994.24	Professional		$1,006.83	$1,316.12	$2,994.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,680.52 / $1,680.52 / $37,499.62	Facility		$1,680.52	$1,680.52	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,680.52 / $1,680.52 / $1,680.52	Professional		$1,680.52	$1,680.52	$1,680.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,480.64 / $1,480.64 / $1,480.64	Facility		$1,480.64	$1,480.64	$1,480.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,280.83 / $1,931.01 / $4,521.56	Professional		$1,280.83	$1,931.01	$4,521.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,806.00 / $3,466.87	Facility		$332.00	$1,806.00	$3,466.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,430.23 / $2,015.77 / $2,973.80	Professional		$1,430.23	$2,015.77	$2,973.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,228.19 / $1,228.19 / $1,228.19	Facility		$1,228.19	$1,228.19	$1,228.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,064.52 / $1,330.79 / $2,761.81	Professional		$1,064.52	$1,330.79	$2,761.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,480.64	Facility		$555.00	$597.00	$1,480.64
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,290.24 / $1,869.30 / $4,381.00	Professional		$1,290.24	$1,869.30	$4,381.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,080.20 / $1,558.15 / $3,844.75	Professional		$1,080.20	$1,558.15	$3,844.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,565.63 / $1,565.63 / $5,587.86	Facility		$1,565.63	$1,565.63	$5,587.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,064.52 / $1,711.61 / $3,309.50	Professional		$1,064.52	$1,711.61	$3,309.50