Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,423.47 / $4,648.00 / $11,080.00	Facility		$1,423.47	$4,648.00	$11,080.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,039.49 / $1,209.63 / $2,145.40	Professional		$1,039.49	$1,209.63	$2,145.40
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 $899.54 / $1,175.86 / $2,506.57	Professional		$899.54	$1,175.86	$2,506.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,638.98 / $2,390.00 / $10,957.50	Facility		$1,638.98	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,638.98 / $1,638.98 / $1,638.98	Professional		$1,638.98	$1,638.98	$1,638.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,273.91 / $1,273.91 / $1,273.91	Facility		$1,273.91	$1,273.91	$1,273.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,087.91 / $1,682.26 / $3,963.91	Professional		$1,087.91	$1,682.26	$3,963.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,610.00 / $2,856.31	Facility		$332.00	$1,610.00	$2,856.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,306.78 / $1,746.55 / $2,450.08	Professional		$1,306.78	$1,746.55	$2,450.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,069.64 / $1,069.64 / $1,069.64	Facility		$1,069.64	$1,069.64	$1,069.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $855.71 / $1,161.69 / $2,410.87	Professional		$855.71	$1,161.69	$2,410.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $36,596.00	Facility		$555.00	$597.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,155.09 / $1,719.85 / $3,733.65	Professional		$1,155.09	$1,719.85	$3,733.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $14,064.00	Facility		$2,264.00	$5,248.00	$14,064.00
United Facility/Professional Professional Modifier Low / Median / High Price $984.90 / $1,430.61 / $3,219.39	Professional		$984.90	$1,430.61	$3,219.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,366.69 / $1,366.69 / $5,300.78	Facility		$1,366.69	$1,366.69	$5,300.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $910.33 / $1,421.36 / $2,888.96	Professional		$910.33	$1,421.36	$2,888.96