Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,358.69 / $4,392.00 / $11,396.00	Facility		$1,358.69	$4,392.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,007.18 / $1,168.41 / $2,253.67	Professional		$1,007.18	$1,168.41	$2,253.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,228.00	Facility		$3,283.00	$5,434.00	$12,228.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $926.56 / $1,211.19 / $2,746.90	Professional		$926.56	$1,211.19	$2,746.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,585.80 / $1,585.80 / $37,499.62	Facility		$1,585.80	$1,585.80	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,585.80 / $1,585.80 / $1,585.80	Professional		$1,585.80	$1,585.80	$1,585.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,273.55 / $1,273.55 / $1,273.55	Facility		$1,273.55	$1,273.55	$1,273.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,121.38 / $1,696.63 / $4,236.85	Professional		$1,121.38	$1,696.63	$4,236.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,333.53 / $3,000.44	Facility		$332.00	$1,333.53	$3,000.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,227.36 / $1,741.61 / $2,573.71	Professional		$1,227.36	$1,741.61	$2,573.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,053.99 / $1,053.99 / $1,053.99	Facility		$1,053.99	$1,053.99	$1,053.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $914.13 / $1,344.30 / $2,371.38	Professional		$914.13	$1,344.30	$2,371.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,273.55	Facility		$555.00	$597.00	$1,273.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,151.40 / $1,689.13 / $3,912.91	Professional		$1,151.40	$1,689.13	$3,912.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $6,344.00 / $14,069.00	Facility		$2,705.00	$6,344.00	$14,069.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,040.16 / $1,470.88 / $3,674.83	Professional		$1,040.16	$1,470.88	$3,674.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,344.30 / $1,344.30 / $4,730.18	Facility		$1,344.30	$1,344.30	$4,730.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $915.32 / $1,468.84 / $2,841.64	Professional		$915.32	$1,468.84	$2,841.64