Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,466.43 / $4,442.00 / $10,686.00	Facility		$1,466.43	$4,442.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,037.36 / $1,200.51 / $2,277.23	Professional		$1,037.36	$1,200.51	$2,277.23
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 $936.23 / $1,223.83 / $2,847.06	Professional		$936.23	$1,223.83	$2,847.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,591.00 / $1,990.00 / $8,917.50	Facility		$1,591.00	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,591.00 / $1,591.00 / $1,591.00	Professional		$1,591.00	$1,591.00	$1,591.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,285.67 / $1,285.67 / $1,285.67	Facility		$1,285.67	$1,285.67	$1,285.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,145.35 / $1,745.36 / $4,378.14	Professional		$1,145.35	$1,745.36	$4,378.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,080.00 / $3,031.83	Facility		$332.00	$1,080.00	$3,031.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,226.41 / $1,755.14 / $2,600.64	Professional		$1,226.41	$1,755.14	$2,600.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,053.16 / $1,053.16 / $1,053.16	Facility		$1,053.16	$1,053.16	$1,053.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $913.86 / $1,342.96 / $2,370.69	Professional		$913.86	$1,342.96	$2,370.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,285.67	Facility		$555.00	$597.00	$1,285.67
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,171.60 / $1,734.88 / $4,036.57	Professional		$1,171.60	$1,734.88	$4,036.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,022.04 / $1,444.59 / $3,676.07	Professional		$1,022.04	$1,444.59	$3,676.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,343.92 / $1,343.92 / $5,039.16	Facility		$1,343.92	$1,343.92	$5,039.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $985.12 / $1,397.67 / $2,840.82	Professional		$985.12	$1,397.67	$2,840.82