Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $5,157.00 / $11,396.00	Facility		$1,516.00	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,135.02 / $1,297.94 / $2,671.34	Professional		$1,135.02	$1,297.94	$2,671.34
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 $991.74 / $1,296.40 / $3,058.58	Professional		$991.74	$1,296.40	$3,058.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,762.92 / $1,762.92 / $37,499.62	Facility		$1,762.92	$1,762.92	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,762.92 / $1,762.92 / $1,762.92	Professional		$1,762.92	$1,762.92	$1,762.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,413.76 / $1,413.76 / $1,413.76	Facility		$1,413.76	$1,413.76	$1,413.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,236.49 / $1,881.21 / $4,713.72	Professional		$1,236.49	$1,881.21	$4,713.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,125.00 / $3,323.90	Facility		$332.00	$1,125.00	$3,323.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,359.46 / $1,929.02 / $2,851.17	Professional		$1,359.46	$1,929.02	$2,851.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,167.42 / $1,167.42 / $1,167.42	Facility		$1,167.42	$1,167.42	$1,167.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,012.61 / $1,265.76 / $2,626.86	Professional		$1,012.61	$1,265.76	$2,626.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,413.76	Facility		$555.00	$597.00	$1,413.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,267.18 / $1,881.21 / $4,361.49	Professional		$1,267.18	$1,881.21	$4,361.49
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 $1,109.96 / $1,608.97 / $4,097.99	Professional		$1,109.96	$1,608.97	$4,097.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,489.13 / $1,489.13 / $4,644.80	Facility		$1,489.13	$1,489.13	$4,644.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,013.12 / $1,626.92 / $3,147.78	Professional		$1,013.12	$1,626.92	$3,147.78