Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,377.06 / $4,629.00 / $10,674.00	Facility		$1,377.06	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,029.58 / $1,179.17 / $2,200.54	Professional		$1,029.58	$1,179.17	$2,200.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.07 / $1,164.80 / $2,770.58	Professional		$891.07	$1,164.80	$2,770.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,595.96 / $2,390.00 / $10,957.50	Facility		$1,595.96	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,595.96 / $1,595.96 / $1,595.96	Professional		$1,595.96	$1,595.96	$1,595.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,280.88 / $1,280.88 / $1,280.88	Facility		$1,280.88	$1,280.88	$1,280.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,126.55 / $1,808.81 / $4,270.37	Professional		$1,126.55	$1,808.81	$4,270.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,269.92 / $3,013.56	Facility		$332.00	$1,269.92	$3,013.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,232.35 / $1,748.99 / $2,584.96	Professional		$1,232.35	$1,748.99	$2,584.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,058.27 / $1,058.27 / $1,058.27	Facility		$1,058.27	$1,058.27	$1,058.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $918.47 / $1,148.08 / $2,382.65	Professional		$918.47	$1,148.08	$2,382.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,280.88	Facility		$555.00	$597.00	$1,280.88
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,173.30 / $1,783.28 / $4,014.22	Professional		$1,173.30	$1,783.28	$4,014.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,005.69 / $1,459.68 / $3,441.36	Professional		$1,005.69	$1,459.68	$3,441.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,350.69 / $1,350.69 / $6,315.49	Facility		$1,350.69	$1,350.69	$6,315.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,058.27 / $1,474.80 / $2,855.14	Professional		$1,058.27	$1,474.80	$2,855.14