Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,369.01 / $4,629.00 / $10,674.00	Facility		$1,369.01	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.61 / $1,170.22 / $2,188.07	Professional		$1,023.61	$1,170.22	$2,188.07
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 $922.57 / $1,205.98 / $2,744.91	Professional		$922.57	$1,205.98	$2,744.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,586.85 / $2,390.00 / $10,957.50	Facility		$1,586.85	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,586.85 / $1,586.85 / $1,586.85	Professional		$1,586.85	$1,586.85	$1,586.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,273.64 / $1,273.64 / $1,273.64	Facility		$1,273.64	$1,273.64	$1,273.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,123.53 / $1,782.47 / $4,244.91	Professional		$1,123.53	$1,782.47	$4,244.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,650.00 / $2,995.63	Facility		$332.00	$1,650.00	$2,995.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,225.24 / $1,738.65 / $2,569.58	Professional		$1,225.24	$1,738.65	$2,569.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,052.16 / $1,052.16 / $1,052.16	Facility		$1,052.16	$1,052.16	$1,052.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $913.39 / $1,343.22 / $2,369.48	Professional		$913.39	$1,343.22	$2,369.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,273.64	Facility		$555.00	$597.00	$1,273.64
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,158.98 / $1,722.44 / $3,940.04	Professional		$1,158.98	$1,722.44	$3,940.04
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 $1,005.08 / $1,488.11 / $3,675.84	Professional		$1,005.08	$1,488.11	$3,675.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,343.22 / $1,343.22 / $6,102.34	Facility		$1,343.22	$1,343.22	$6,102.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,046.40 / $1,466.29 / $2,839.36	Professional		$1,046.40	$1,466.29	$2,839.36