Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,481.59 / $4,940.00 / $11,161.00	Facility		$1,481.59	$4,940.00	$11,161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,111.42 / $1,270.13 / $2,365.69	Professional		$1,111.42	$1,270.13	$2,365.69
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 $996.01 / $1,301.98 / $2,985.92	Professional		$996.01	$1,301.98	$2,985.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,718.09 / $1,718.09 / $37,499.62	Facility		$1,718.09	$1,718.09	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,718.09 / $1,718.09 / $1,718.09	Professional		$1,718.09	$1,718.09	$1,718.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,382.39 / $1,382.39 / $1,382.39	Facility		$1,382.39	$1,382.39	$1,382.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,214.21 / $1,842.19 / $4,610.04	Professional		$1,214.21	$1,842.19	$4,610.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,311.43 / $3,252.38	Facility		$332.00	$1,311.43	$3,252.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,330.37 / $1,887.69 / $2,789.82	Professional		$1,330.37	$1,887.69	$2,789.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,142.44 / $1,142.44 / $1,142.44	Facility		$1,142.44	$1,142.44	$1,142.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $991.23 / $1,457.69 / $2,571.40	Professional		$991.23	$1,457.69	$2,571.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,382.39	Facility		$555.00	$597.00	$1,382.39
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,255.58 / $1,842.19 / $4,262.93	Professional		$1,255.58	$1,842.19	$4,262.93
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 $1,115.68 / $1,568.81 / $3,928.83	Professional		$1,115.68	$1,568.81	$3,928.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,457.69 / $1,457.69 / $5,554.57	Facility		$1,457.69	$1,457.69	$5,554.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,043.19 / $1,592.10 / $3,081.32	Professional		$1,043.19	$1,592.10	$3,081.32