Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,389.73 / $3,797.00 / $10,296.00	Facility		$1,389.73	$3,797.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,034.52 / $1,214.83 / $2,216.67	Professional		$1,034.52	$1,214.83	$2,216.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,168.00	Facility		$3,283.00	$5,434.00	$12,168.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $962.14 / $1,257.70 / $2,657.31	Professional		$962.14	$1,257.70	$2,657.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,648.13 / $1,648.13 / $37,499.62	Facility		$1,648.13	$1,648.13	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,648.13 / $1,648.13 / $1,648.13	Professional		$1,648.13	$1,648.13	$1,648.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,324.04 / $1,324.04 / $1,324.04	Facility		$1,324.04	$1,324.04	$1,324.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,157.02 / $1,765.89 / $4,412.09	Professional		$1,157.02	$1,765.89	$4,412.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,253.77 / $3,110.38	Facility		$332.00	$1,253.77	$3,110.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,272.40 / $1,805.13 / $2,668.01	Professional		$1,272.40	$1,805.13	$2,668.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,092.66 / $1,092.66 / $1,092.66	Facility		$1,092.66	$1,092.66	$1,092.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $923.06 / $1,394.14 / $2,459.30	Professional		$923.06	$1,394.14	$2,459.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,324.04	Facility		$555.00	$597.00	$1,324.04
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,185.51 / $1,828.99 / $4,101.52	Professional		$1,185.51	$1,828.99	$4,101.52
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 $1,087.70 / $1,554.48 / $3,764.16	Professional		$1,087.70	$1,554.48	$3,764.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,394.14 / $1,394.14 / $4,404.39	Facility		$1,394.14	$1,394.14	$4,404.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,075.22 / $1,522.73 / $2,946.99	Professional		$1,075.22	$1,522.73	$2,946.99