Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,572.76 / $5,157.00 / $11,396.00	Facility		$1,572.76	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,141.23 / $1,331.35 / $2,560.21	Professional		$1,141.23	$1,331.35	$2,560.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,168.00	Facility		$3,283.00	$5,434.00	$12,168.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,052.94 / $1,376.40 / $3,146.03	Professional		$1,052.94	$1,376.40	$3,146.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,805.25 / $1,805.25 / $37,499.62	Facility		$1,805.25	$1,805.25	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,805.25 / $1,805.25 / $1,805.25	Professional		$1,805.25	$1,805.25	$1,805.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,449.04 / $1,449.04 / $1,449.04	Facility		$1,449.04	$1,449.04	$1,449.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,271.79 / $1,931.74 / $4,838.95	Professional		$1,271.79	$1,931.74	$4,838.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,433.25 / $3,408.57	Facility		$332.00	$1,433.25	$3,408.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,394.26 / $1,978.28 / $2,923.80	Professional		$1,394.26	$1,978.28	$2,923.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,197.30 / $1,197.30 / $1,197.30	Facility		$1,197.30	$1,197.30	$1,197.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,038.48 / $1,298.08 / $2,693.97	Professional		$1,038.48	$1,298.08	$2,693.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,449.04	Facility		$555.00	$597.00	$1,449.04
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,315.09 / $1,931.74 / $4,484.21	Professional		$1,315.09	$1,931.74	$4,484.21
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 $1,137.57 / $1,603.23 / $3,938.65	Professional		$1,137.57	$1,603.23	$3,938.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,527.17 / $1,527.17 / $5,696.42	Facility		$1,527.17	$1,527.17	$5,696.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,079.90 / $1,668.56 / $3,228.20	Professional		$1,079.90	$1,668.56	$3,228.20