Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,818.98 / $5,202.00 / $11,996.00	Facility		$1,818.98	$5,202.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,274.82 / $1,558.77 / $2,928.59	Professional		$1,274.82	$1,558.77	$2,928.59
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 $1,247.35 / $1,549.01 / $3,547.36	Professional		$1,247.35	$1,549.01	$3,547.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,124.04 / $2,124.04 / $37,499.62	Facility		$2,124.04	$2,124.04	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,124.04 / $2,124.04 / $2,124.04	Professional		$2,124.04	$2,124.04	$2,124.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,703.48 / $1,703.48 / $1,703.48	Facility		$1,703.48	$1,703.48	$1,703.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,253.08 / $2,151.37 / $5,513.64	Professional		$1,253.08	$2,151.37	$5,513.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,612.76 / $4,001.58	Facility		$332.00	$1,612.76	$4,001.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,612.76 / $2,322.23 / $3,432.47	Professional		$1,612.76	$2,322.23	$3,432.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,405.66 / $1,405.66 / $1,405.66	Facility		$1,405.66	$1,405.66	$1,405.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $736.06 / $1,792.83 / $3,162.59	Professional		$736.06	$1,792.83	$3,162.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,703.48	Facility		$555.00	$597.00	$1,703.48
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,266.43 / $2,166.27 / $5,121.63	Professional		$1,266.43	$2,166.27	$5,121.63
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 $1,260.25 / $1,900.75 / $4,767.54	Professional		$1,260.25	$1,900.75	$4,767.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,792.83 / $1,792.83 / $4,141.37	Facility		$1,792.83	$1,792.83	$4,141.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,036.25 / $1,958.93 / $3,789.75	Professional		$1,036.25	$1,958.93	$3,789.75