Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,565.78 / $4,683.00 / $10,526.00	Facility		$1,565.78	$4,683.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,024.55 / $1,640.30 / $3,388.01	Professional		$1,024.55	$1,640.30	$3,388.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,034.30 / $1,352.03 / $3,443.80	Professional		$1,034.30	$1,352.03	$3,443.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,759.98 / $2,390.00 / $10,957.50	Facility		$1,759.98	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,759.98 / $1,759.98 / $1,759.98	Professional		$1,759.98	$1,759.98	$1,759.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,401.05 / $1,401.05 / $6,511.02	Facility		$1,401.05	$1,401.05	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.99 / $2,281.07 / $4,585.32	Professional		$977.99	$2,281.07	$4,585.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,317.71 / $3,224.75	Facility		$319.00	$1,317.71	$3,224.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,433.22 / $1,676.97 / $2,509.67	Professional		$1,433.22	$1,676.97	$2,509.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,034.13 / $1,354.24 / $2,298.82	Professional		$1,034.13	$1,354.24	$2,298.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,401.05 / $6,511.02	Facility		$555.00	$1,401.05	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,147.34 / $2,268.89 / $4,692.50	Professional		$1,147.34	$2,268.89	$4,692.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,011.96 / $1,532.59 / $3,382.66	Professional		$1,011.96	$1,532.59	$3,382.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,354.24 / $1,354.24 / $3,803.57	Facility		$1,354.24	$1,354.24	$3,803.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,034.13 / $1,556.46 / $2,945.36	Professional		$1,034.13	$1,556.46	$2,945.36