Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,590.04 / $5,157.00 / $11,880.00	Facility		$1,590.04	$5,157.00	$11,880.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,177.65 / $1,346.40 / $2,588.52	Professional		$1,177.65	$1,346.40	$2,588.52
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 $1,068.88 / $1,397.24 / $3,203.34	Professional		$1,068.88	$1,397.24	$3,203.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,826.21 / $1,826.21 / $37,499.62	Facility		$1,826.21	$1,826.21	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,826.21 / $1,826.21 / $1,826.21	Professional		$1,826.21	$1,826.21	$1,826.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,465.76 / $1,465.76 / $1,465.76	Facility		$1,465.76	$1,465.76	$1,465.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,285.69 / $1,955.29 / $4,880.82	Professional		$1,285.69	$1,955.29	$4,880.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,389.38 / $3,446.26	Facility		$332.00	$1,389.38	$3,446.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,409.70 / $2,000.13 / $2,956.12	Professional		$1,409.70	$2,000.13	$2,956.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,210.56 / $1,210.56 / $1,210.56	Facility		$1,210.56	$1,210.56	$1,210.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,050.28 / $1,312.86 / $2,724.60	Professional		$1,050.28	$1,312.86	$2,724.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,465.76	Facility		$555.00	$597.00	$1,465.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,343.40 / $1,955.29 / $4,536.47	Professional		$1,343.40	$1,955.29	$4,536.47
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 $1,153.77 / $1,642.44 / $3,992.99	Professional		$1,153.77	$1,642.44	$3,992.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,544.54 / $1,544.54 / $5,804.06	Facility		$1,544.54	$1,544.54	$5,804.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,100.04 / $1,606.32 / $3,264.90	Professional		$1,100.04	$1,606.32	$3,264.90