Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,711.01 / $5,157.00 / $11,396.00	Facility		$1,711.01	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,270.68 / $1,486.71 / $2,661.65	Professional		$1,270.68	$1,486.71	$2,661.65
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 $1,153.42 / $1,507.75 / $3,300.86	Professional		$1,153.42	$1,507.75	$3,300.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,975.52 / $1,975.52 / $37,499.62	Facility		$1,975.52	$1,975.52	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,975.52 / $1,975.52 / $1,975.52	Professional		$1,975.52	$1,975.52	$1,975.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.46 / $1,584.46 / $1,584.46	Facility		$1,584.46	$1,584.46	$1,584.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,386.68 / $2,106.17 / $5,283.77	Professional		$1,386.68	$2,106.17	$5,283.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,499.83 / $3,721.95	Facility		$332.00	$1,499.83	$3,721.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,521.91 / $2,159.82 / $3,192.61	Professional		$1,521.91	$2,159.82	$3,192.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,306.92 / $1,306.92 / $1,306.92	Facility		$1,306.92	$1,306.92	$1,306.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,131.48 / $1,667.88 / $2,942.18	Professional		$1,131.48	$1,667.88	$2,942.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,584.46	Facility		$555.00	$597.00	$1,584.46
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,437.37 / $2,106.17 / $4,889.62	Professional		$1,437.37	$2,106.17	$4,889.62
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 $1,263.95 / $1,776.00 / $4,513.60	Professional		$1,263.95	$1,776.00	$4,513.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,667.88 / $1,667.88 / $5,952.25	Facility		$1,667.88	$1,667.88	$5,952.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,146.20 / $1,821.33 / $3,525.63	Professional		$1,146.20	$1,821.33	$3,525.63