Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,747.71 / $5,157.00 / $11,396.00	Facility		$1,747.71	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,212.72 / $1,509.92 / $2,740.41	Professional		$1,212.72	$1,509.92	$2,740.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,144.31 / $1,490.89 / $3,172.20	Professional		$1,144.31	$1,490.89	$3,172.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,036.18 / $2,644.00 / $12,319.50	Facility		$2,036.18	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,036.18 / $2,036.18 / $2,036.18	Professional		$2,036.18	$2,036.18	$2,036.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,612.82 / $1,612.82 / $1,612.82	Facility		$1,612.82	$1,612.82	$1,612.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,421.56 / $2,030.31 / $5,396.20	Professional		$1,421.56	$2,030.31	$5,396.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,245.00 / $3,796.22	Facility		$332.00	$1,245.00	$3,796.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,552.91 / $2,204.37 / $3,256.32	Professional		$1,552.91	$2,204.37	$3,256.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,333.54 / $1,333.54 / $1,333.54	Facility		$1,333.54	$1,333.54	$1,333.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,131.86 / $1,456.12 / $3,021.91	Professional		$1,131.86	$1,456.12	$3,021.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,612.82	Facility		$555.00	$597.00	$1,612.82
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,434.13 / $2,063.81 / $4,936.06	Professional		$1,434.13	$2,063.81	$4,936.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,256.47 / $1,776.42 / $4,389.89	Professional		$1,256.47	$1,776.42	$4,389.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,713.08 / $1,713.08 / $6,080.54	Facility		$1,713.08	$1,713.08	$6,080.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,131.86 / $1,858.42 / $3,621.17	Professional		$1,131.86	$1,858.42	$3,621.17