Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $4,073.80 / $10,000.00	Facility		$1,659.59	$4,073.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $3,715.35	Professional		$1,174.90	$1,513.56	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $3,388.44	Professional		$1,096.48	$1,412.54	$3,388.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,995.26 / $8,912.51	Facility		$1,905.46	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $50,118.72	Facility		$1,862.09	$2,398.83	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $5,495.41	Professional		$1,288.25	$1,949.84	$5,495.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,548.82 / $3,467.37	Facility		$794.33	$1,548.82	$3,467.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $3,019.95	Professional		$1,479.11	$2,041.74	$3,019.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,862.09 / $3,019.95	Professional		$1,071.52	$1,862.09	$3,019.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $50,118.72 / $75,857.76	Facility		$1,023.29	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,778.28 / $3,801.89	Professional		$398.11	$1,778.28	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $8,317.64	Facility		$1,819.70	$3,981.07	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $4,168.69	Professional		$1,071.52	$1,621.81	$4,168.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $4,265.80	Facility		$1,148.15	$1,698.24	$4,265.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $3,630.78	Professional		$1,148.15	$1,698.24	$3,630.78