Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,554.89 / $5,324.00 / $13,229.00	Facility		$1,554.89	$5,324.00	$13,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,159.52 / $1,334.02 / $2,494.39	Professional		$1,159.52	$1,334.02	$2,494.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $9,808.00 / $16,411.00	Facility		$4,977.00	$9,808.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,055.21 / $1,379.37 / $3,143.48	Professional		$1,055.21	$1,379.37	$3,143.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,809.33 / $3,478.50 / $13,477.50	Facility		$1,809.33	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,809.33 / $1,809.33 / $1,809.33	Professional		$1,809.33	$1,809.33	$1,809.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,453.45 / $1,453.45 / $1,453.45	Facility		$1,453.45	$1,453.45	$1,453.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,270.10 / $1,914.71 / $4,835.68	Professional		$1,270.10	$1,914.71	$4,835.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,381.81 / $3,425.78	Facility		$332.00	$1,381.81	$3,425.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,401.27 / $1,988.52 / $2,938.56	Professional		$1,401.27	$1,988.52	$2,938.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,203.32 / $1,203.32 / $1,203.32	Facility		$1,203.32	$1,203.32	$1,203.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,028.57 / $1,534.91 / $2,707.62	Professional		$1,028.57	$1,534.91	$2,707.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,453.45	Facility		$555.00	$597.00	$1,453.45
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,320.55 / $1,918.98 / $4,467.54	Professional		$1,320.55	$1,918.98	$4,467.54
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 $1,165.38 / $1,647.63 / $4,126.81	Professional		$1,165.38	$1,647.63	$4,126.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,534.91 / $1,534.91 / $5,174.08	Facility		$1,534.91	$1,534.91	$5,174.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,043.74 / $1,676.95 / $3,244.56	Professional		$1,043.74	$1,676.95	$3,244.56