Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,549.36 / $4,308.00 / $10,024.57	Facility		$1,549.36	$4,308.00	$10,024.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.36 / $1,329.84 / $2,739.27	Professional		$1,166.36	$1,329.84	$2,739.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $9,808.00 / $16,411.00	Facility		$4,977.00	$9,808.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,005.42 / $1,314.28 / $3,088.90	Professional		$1,005.42	$1,314.28	$3,088.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,804.49 / $1,804.49 / $12,319.50	Facility		$1,804.49	$1,804.49	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,804.49 / $1,804.49 / $1,804.49	Professional		$1,804.49	$1,804.49	$1,804.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,448.89 / $1,448.89 / $1,448.89	Facility		$1,448.89	$1,448.89	$1,448.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,276.72 / $1,930.00 / $4,820.22	Professional		$1,276.72	$1,930.00	$4,820.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,805.00 / $3,700.25	Facility		$332.00	$1,805.00	$3,700.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,396.92 / $1,982.54 / $2,929.82	Professional		$1,396.92	$1,982.54	$2,929.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,199.58 / $1,199.58 / $1,199.58	Facility		$1,199.58	$1,199.58	$1,199.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,040.27 / $1,529.80 / $2,698.61	Professional		$1,040.27	$1,529.80	$2,698.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,448.89	Facility		$555.00	$597.00	$1,448.89
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,305.21 / $1,920.79 / $4,472.60	Professional		$1,305.21	$1,920.79	$4,472.60
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 $1,137.31 / $1,642.78 / $4,114.28	Professional		$1,137.31	$1,642.78	$4,114.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,529.80 / $1,529.80 / $3,834.58	Facility		$1,529.80	$1,529.80	$3,834.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,083.66 / $1,671.74 / $3,233.76	Professional		$1,083.66	$1,671.74	$3,233.76