Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,280.52 / $3,797.00 / $10,296.00	Facility		$1,280.52	$3,797.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $899.68 / $1,279.15 / $2,330.64	Professional		$899.68	$1,279.15	$2,330.64
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 $945.91 / $1,215.00 / $2,613.01	Professional		$945.91	$1,215.00	$2,613.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,713.85 / $1,713.85 / $10,957.50	Facility		$1,713.85	$1,713.85	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,713.85 / $1,713.85 / $1,713.85	Professional		$1,713.85	$1,713.85	$1,713.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,379.44 / $1,379.44 / $1,379.44	Facility		$1,379.44	$1,379.44	$1,379.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,145.94 / $1,628.89 / $4,550.83	Professional		$1,145.94	$1,628.89	$4,550.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,365.00 / $3,250.64	Facility		$332.00	$1,365.00	$3,250.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,443.57 / $1,887.33 / $2,788.33	Professional		$1,443.57	$1,887.33	$2,788.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,141.79 / $1,141.79 / $1,141.79	Facility		$1,141.79	$1,141.79	$1,141.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $913.43 / $1,243.10 / $2,579.84	Professional		$913.43	$1,243.10	$2,579.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,379.44	Facility		$555.00	$597.00	$1,379.44
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,212.84 / $1,662.57 / $3,982.54	Professional		$1,212.84	$1,662.57	$3,982.54
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 $1,056.40 / $1,545.83 / $3,822.21	Professional		$1,056.40	$1,545.83	$3,822.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,462.48 / $1,462.48 / $4,539.17	Facility		$1,462.48	$1,462.48	$4,539.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $913.43 / $1,591.20 / $3,091.44	Professional		$913.43	$1,591.20	$3,091.44