Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,434.58 / $4,640.82 / $10,526.00	Facility		$1,434.58	$4,640.82	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,077.47 / $1,217.55 / $2,636.43	Professional		$1,077.47	$1,217.55	$2,636.43
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 $1,041.93 / $1,343.49 / $2,898.56	Professional		$1,041.93	$1,343.49	$2,898.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,653.59 / $1,653.59 / $37,499.62	Facility		$1,653.59	$1,653.59	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,653.59 / $1,653.59 / $1,653.59	Professional		$1,653.59	$1,653.59	$1,653.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,325.95 / $1,325.95 / $1,325.95	Facility		$1,325.95	$1,325.95	$1,325.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,162.53 / $1,785.07 / $4,408.31	Professional		$1,162.53	$1,785.07	$4,408.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,801.54 / $3,118.05	Facility		$332.00	$1,801.54	$3,118.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,275.19 / $1,809.45 / $2,674.59	Professional		$1,275.19	$1,809.45	$2,674.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,095.05 / $1,095.05 / $1,095.05	Facility		$1,095.05	$1,095.05	$1,095.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $948.91 / $1,186.14 / $2,461.63	Professional		$948.91	$1,186.14	$2,461.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,325.95	Facility		$555.00	$597.00	$1,325.95
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,214.69 / $1,784.22 / $4,124.78	Professional		$1,214.69	$1,784.22	$4,124.78
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 $1,079.58 / $1,503.31 / $3,784.94	Professional		$1,079.58	$1,503.31	$3,784.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,395.46 / $1,395.46 / $5,282.31	Facility		$1,395.46	$1,395.46	$5,282.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,004.77 / $1,526.07 / $2,949.78	Professional		$1,004.77	$1,526.07	$2,949.78