Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,367.84 / $5,157.00 / $11,396.00	Facility		$1,367.84	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,006.57 / $1,146.96 / $2,143.64	Professional		$1,006.57	$1,146.96	$2,143.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,228.00	Facility		$3,283.00	$5,434.00	$12,228.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $908.62 / $1,187.74 / $2,732.77	Professional		$908.62	$1,187.74	$2,732.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,555.35 / $1,555.35 / $37,499.62	Facility		$1,555.35	$1,555.35	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,555.35 / $1,555.35 / $1,555.35	Professional		$1,555.35	$1,555.35	$1,555.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,249.94 / $1,249.94 / $1,249.94	Facility		$1,249.94	$1,249.94	$1,249.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,099.39 / $1,671.93 / $4,159.07	Professional		$1,099.39	$1,671.93	$4,159.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,690.00 / $2,944.82	Facility		$332.00	$1,690.00	$2,944.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,204.81 / $1,709.41 / $2,526.00	Professional		$1,204.81	$1,709.41	$2,526.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,034.60 / $1,034.60 / $1,034.60	Facility		$1,034.60	$1,034.60	$1,034.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $897.45 / $1,319.78 / $2,328.12	Professional		$897.45	$1,319.78	$2,328.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,249.94	Facility		$555.00	$597.00	$1,249.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,136.69 / $1,671.93 / $3,857.69	Professional		$1,136.69	$1,671.93	$3,857.69
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 $1,006.04 / $1,440.75 / $3,474.69	Professional		$1,006.04	$1,440.75	$3,474.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,319.78 / $1,319.78 / $4,804.45	Facility		$1,319.78	$1,319.78	$4,804.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $923.62 / $1,441.84 / $2,789.80	Professional		$923.62	$1,441.84	$2,789.80