Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.19 / $4,629.00 / $10,674.00	Facility		$1,539.19	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,156.39 / $1,323.27 / $2,476.41	Professional		$1,156.39	$1,323.27	$2,476.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,279.00 / $11,909.00	Facility		$3,283.00	$5,279.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,042.97 / $1,363.37 / $3,124.82	Professional		$1,042.97	$1,363.37	$3,124.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,796.12 / $1,796.12 / $37,499.62	Facility		$1,796.12	$1,796.12	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,796.12 / $1,796.12 / $1,796.12	Professional		$1,796.12	$1,796.12	$1,796.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,440.74 / $1,440.74 / $1,440.74	Facility		$1,440.74	$1,440.74	$1,440.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,261.99 / $1,917.97 / $4,803.70	Professional		$1,261.99	$1,917.97	$4,803.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,364.16 / $3,383.93	Facility		$332.00	$1,364.16	$3,383.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,384.28 / $1,963.93 / $2,902.66	Professional		$1,384.28	$1,963.93	$2,902.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,188.74 / $1,188.74 / $1,188.74	Facility		$1,188.74	$1,188.74	$1,188.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,032.00 / $1,290.00 / $2,677.17	Professional		$1,032.00	$1,290.00	$2,677.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,440.74	Facility		$555.00	$597.00	$1,440.74
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,309.13 / $1,934.18 / $4,454.75	Professional		$1,309.13	$1,934.18	$4,454.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,133.68 / $1,594.15 / $4,020.48	Professional		$1,133.68	$1,594.15	$4,020.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,517.65 / $1,517.65 / $4,540.56	Facility		$1,517.65	$1,517.65	$4,540.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,084.53 / $1,656.63 / $3,208.06	Professional		$1,084.53	$1,656.63	$3,208.06