Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,484.21 / $4,629.00 / $10,674.00	Facility		$1,484.21	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,084.48 / $1,274.33 / $2,455.52	Professional		$1,084.48	$1,274.33	$2,455.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,006.54 / $1,276.27 / $2,953.38	Professional		$1,006.54	$1,276.27	$2,953.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,728.47 / $3,478.50 / $13,477.50	Facility		$1,728.47	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,728.47 / $1,728.47 / $1,728.47	Professional		$1,728.47	$1,728.47	$1,728.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,387.75 / $1,387.75 / $1,387.75	Facility		$1,387.75	$1,387.75	$1,387.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,212.03 / $1,832.69 / $4,621.85	Professional		$1,212.03	$1,832.69	$4,621.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,318.42 / $3,269.18	Facility		$332.00	$1,318.42	$3,269.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.42 / $1,897.52 / $2,804.23	Professional		$1,318.42	$1,897.52	$2,804.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.18 / $1,148.18 / $1,148.18	Facility		$1,148.18	$1,148.18	$1,148.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $987.31 / $1,245.06 / $2,583.90	Professional		$987.31	$1,245.06	$2,583.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,387.75	Facility		$555.00	$597.00	$1,387.75
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,247.95 / $1,832.24 / $4,263.18	Professional		$1,247.95	$1,832.24	$4,263.18
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 $1,033.35 / $1,507.99 / $3,541.32	Professional		$1,033.35	$1,507.99	$3,541.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,464.78 / $1,464.78 / $3,652.48	Facility		$1,464.78	$1,464.78	$3,652.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $987.31 / $1,600.11 / $3,096.30	Professional		$987.31	$1,600.11	$3,096.30