Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,594.78 / $5,157.00 / $11,396.00	Facility		$1,594.78	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,181.27 / $1,350.94 / $2,527.69	Professional		$1,181.27	$1,350.94	$2,527.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,228.00	Facility		$3,283.00	$5,434.00	$12,228.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,068.88 / $1,397.24 / $3,186.14	Professional		$1,068.88	$1,397.24	$3,186.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,833.45 / $1,833.45 / $37,499.62	Facility		$1,833.45	$1,833.45	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,833.45 / $1,833.45 / $1,833.45	Professional		$1,833.45	$1,833.45	$1,833.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,471.08 / $1,471.08 / $1,471.08	Facility		$1,471.08	$1,471.08	$1,471.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,289.53 / $1,958.49 / $4,904.14	Professional		$1,289.53	$1,958.49	$4,904.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,790.00 / $3,456.47	Facility		$332.00	$1,790.00	$3,456.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,414.06 / $2,006.11 / $2,964.89	Professional		$1,414.06	$2,006.11	$2,964.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,214.31 / $1,214.31 / $1,214.31	Facility		$1,214.31	$1,214.31	$1,214.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,054.09 / $1,550.14 / $2,734.49	Professional		$1,054.09	$1,550.14	$2,734.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,471.08	Facility		$555.00	$597.00	$1,471.08
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,335.41 / $1,958.49 / $4,525.03	Professional		$1,335.41	$1,958.49	$4,525.03
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 $1,172.98 / $1,694.44 / $4,483.14	Professional		$1,172.98	$1,694.44	$4,483.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,550.14 / $1,550.14 / $5,768.42	Facility		$1,550.14	$1,550.14	$5,768.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,092.27 / $1,692.26 / $3,276.75	Professional		$1,092.27	$1,692.26	$3,276.75