Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,492.37 / $5,069.00 / $11,396.00	Facility		$1,492.37	$5,069.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,078.51 / $1,233.03 / $2,948.28	Professional		$1,078.51	$1,233.03	$2,948.28
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 $972.95 / $1,271.83 / $2,941.41	Professional		$972.95	$1,271.83	$2,941.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,672.18 / $1,672.18 / $37,499.62	Facility		$1,672.18	$1,672.18	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,672.18 / $1,672.18 / $1,672.18	Professional		$1,672.18	$1,672.18	$1,672.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,342.78 / $1,342.78 / $1,342.78	Facility		$1,342.78	$1,342.78	$1,342.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,179.92 / $1,786.01 / $4,471.92	Professional		$1,179.92	$1,786.01	$4,471.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,125.00 / $3,159.07	Facility		$332.00	$1,125.00	$3,159.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,292.36 / $1,833.64 / $2,709.78	Professional		$1,292.36	$1,833.64	$2,709.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,109.81 / $1,109.81 / $1,109.81	Facility		$1,109.81	$1,109.81	$1,109.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $963.22 / $1,204.03 / $2,498.73	Professional		$963.22	$1,204.03	$2,498.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,342.78	Facility		$555.00	$597.00	$1,342.78
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,219.98 / $1,786.01 / $4,141.95	Professional		$1,219.98	$1,786.01	$4,141.95
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 $1,054.31 / $1,522.89 / $3,875.30	Professional		$1,054.31	$1,522.89	$3,875.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,416.50 / $1,416.50 / $5,416.32	Facility		$1,416.50	$1,416.50	$5,416.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,008.44 / $1,546.63 / $2,994.26	Professional		$1,008.44	$1,546.63	$2,994.26