Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,894.00 / $12,051.00	Facility		$1,819.00	$5,894.00	$12,051.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,340.40 / $1,636.11 / $2,380.90	Professional		$1,340.40	$1,636.11	$2,380.90
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 $1,293.16 / $1,570.37 / $2,716.66	Professional		$1,293.16	$1,570.37	$2,716.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,261.44 / $2,261.44 / $16,534.50	Facility		$2,261.44	$2,261.44	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,261.44 / $2,261.44 / $2,261.44	Professional		$2,261.44	$2,261.44	$2,261.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,795.12 / $1,795.12 / $1,795.12	Facility		$1,795.12	$1,795.12	$1,795.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,569.29 / $2,324.34 / $6,139.08	Professional		$1,569.29	$2,324.34	$6,139.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,481.00 / $2,578.77	Facility		$332.00	$1,481.00	$2,578.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,124.75 / $1,570.88 / $2,429.77	Professional		$1,124.75	$1,570.88	$2,429.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $935.05 / $935.05 / $935.05	Facility		$935.05	$935.05	$935.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $748.04 / $993.49 / $2,061.82	Professional		$748.04	$993.49	$2,061.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,795.12	Facility		$555.00	$597.00	$1,795.12
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,570.53 / $2,362.73 / $6,231.22	Professional		$1,570.53	$2,362.73	$6,231.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $5,547.00 / $12,509.00	Facility		$2,705.00	$5,547.00	$12,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $947.27 / $1,283.05 / $2,899.79	Professional		$947.27	$1,283.05	$2,899.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,168.81 / $1,168.81 / $5,617.66	Facility		$1,168.81	$1,168.81	$5,617.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $748.04 / $1,215.57 / $2,470.67	Professional		$748.04	$1,215.57	$2,470.67