Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,461.45 / $5,411.00 / $13,407.00	Facility		$1,461.45	$5,411.00	$13,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,025.27 / $1,184.25 / $2,055.19	Professional		$1,025.27	$1,184.25	$2,055.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $932.53 / $1,219.00 / $2,817.48	Professional		$932.53	$1,219.00	$2,817.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,598.28 / $3,478.50 / $13,477.50	Facility		$1,598.28	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,598.28 / $1,598.28 / $1,598.28	Professional		$1,598.28	$1,598.28	$1,598.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,294.18 / $1,294.18 / $1,294.18	Facility		$1,294.18	$1,294.18	$1,294.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.08 / $1,730.01 / $4,289.60	Professional		$1,132.08	$1,730.01	$4,289.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,239.00 / $3,031.18	Facility		$332.00	$1,239.00	$3,031.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,241.04 / $1,759.60 / $2,600.08	Professional		$1,241.04	$1,759.60	$2,600.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,065.73 / $1,065.73 / $1,065.73	Facility		$1,065.73	$1,065.73	$1,065.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $927.91 / $1,364.57 / $2,407.14	Professional		$927.91	$1,364.57	$2,407.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $23,612.00	Facility		$555.00	$597.00	$23,612.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,176.26 / $1,730.01 / $3,995.93	Professional		$1,176.26	$1,730.01	$3,995.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $7,395.00 / $16,818.43	Facility		$2,337.00	$7,395.00	$16,818.43
United Facility/Professional Professional Modifier Low / Median / High Price $1,016.51 / $1,468.29 / $3,473.31	Professional		$1,016.51	$1,468.29	$3,473.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,364.57 / $1,364.57 / $5,295.34	Facility		$1,364.57	$1,364.57	$5,295.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $974.55 / $1,485.20 / $2,884.49	Professional		$974.55	$1,485.20	$2,884.49