Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.91 / $3,996.00 / $9,868.00	Facility		$1,614.91	$3,996.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,181.57 / $1,399.73 / $2,855.17	Professional		$1,181.57	$1,399.73	$2,855.17
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 $1,103.04 / $1,412.95 / $3,239.74	Professional		$1,103.04	$1,412.95	$3,239.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,894.87 / $1,990.00 / $8,917.50	Facility		$1,894.87	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,894.87 / $1,894.87 / $1,894.87	Professional		$1,894.87	$1,894.87	$1,894.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,614.43 / $1,614.43 / $1,614.43	Facility		$1,614.43	$1,614.43	$1,614.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,308.69 / $1,967.14 / $4,752.64	Professional		$1,308.69	$1,967.14	$4,752.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,224.00 / $3,790.60	Facility		$332.00	$1,224.00	$3,790.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,527.58 / $2,199.71 / $3,251.49	Professional		$1,527.58	$2,199.71	$3,251.49
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,331.38 / $1,331.38 / $1,331.38	Facility		$1,331.38	$1,331.38	$1,331.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $830.00 / $1,697.74 / $2,996.83	Professional		$830.00	$1,697.74	$2,996.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,614.43	Facility		$555.00	$597.00	$1,614.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,363.85 / $1,970.55 / $4,695.00	Professional		$1,363.85	$1,970.55	$4,695.00
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 $1,185.94 / $1,715.16 / $4,143.02	Professional		$1,185.94	$1,715.16	$4,143.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,698.86 / $1,698.86 / $4,241.18	Facility		$1,698.86	$1,698.86	$4,241.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $981.94 / $1,766.81 / $3,414.26	Professional		$981.94	$1,766.81	$3,414.26