Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,676.10 / $4,392.00 / $10,024.00	Facility		$1,676.10	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,280.07 / $1,525.94 / $2,857.37	Professional		$1,280.07	$1,525.94	$2,857.37
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 $1,216.33 / $1,542.28 / $3,499.49	Professional		$1,216.33	$1,542.28	$3,499.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,072.37 / $2,072.37 / $8,917.50	Facility		$2,072.37	$2,072.37	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,072.37 / $2,072.37 / $2,072.37	Professional		$2,072.37	$2,072.37	$2,072.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,662.01 / $1,662.01 / $1,662.01	Facility		$1,662.01	$1,662.01	$1,662.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,257.94 / $2,162.33 / $5,379.54	Professional		$1,257.94	$2,162.33	$5,379.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,572.42 / $3,901.75	Facility		$332.00	$1,572.42	$3,901.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,595.99 / $2,264.26 / $3,346.83	Professional		$1,595.99	$2,264.26	$3,346.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,370.54 / $1,370.54 / $1,370.54	Facility		$1,370.54	$1,370.54	$1,370.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $811.93 / $1,486.44 / $3,084.83	Professional		$811.93	$1,486.44	$3,084.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,662.01	Facility		$555.00	$597.00	$1,662.01
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,362.13 / $2,157.11 / $5,030.29	Professional		$1,362.13	$2,157.11	$5,030.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,290.88 / $1,894.69 / $4,539.18	Professional		$1,290.88	$1,894.69	$4,539.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,748.75 / $1,748.75 / $4,882.63	Facility		$1,748.75	$1,748.75	$4,882.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,189.15 / $1,909.99 / $3,696.57	Professional		$1,189.15	$1,909.99	$3,696.57