Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,570.47 / $5,164.00 / $11,161.00	Facility		$1,570.47	$5,164.00	$11,161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,205.99 / $1,504.37 / $3,247.46	Professional		$1,205.99	$1,504.37	$3,247.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,034.02 / $1,351.67 / $3,105.33	Professional		$1,034.02	$1,351.67	$3,105.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,792.92 / $2,644.00 / $12,319.50	Facility		$1,792.92	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,792.92 / $1,792.92 / $1,792.92	Professional		$1,792.92	$1,792.92	$1,792.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,402.55 / $1,402.55 / $7,289.38	Facility		$1,402.55	$1,402.55	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.02 / $2,197.08 / $4,576.21	Professional		$954.02	$2,197.08	$4,576.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,125.00 / $3,244.41	Facility		$319.00	$1,125.00	$3,244.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,441.96 / $1,686.80 / $2,524.38	Professional		$1,441.96	$1,686.80	$2,524.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,032.96 / $1,355.86 / $2,301.57	Professional		$1,032.96	$1,355.86	$2,301.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,402.55 / $7,289.38	Facility		$555.00	$1,402.55	$7,289.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,071.88 / $2,178.17 / $4,576.37	Professional		$1,071.88	$2,178.17	$4,576.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.48 / $1,558.80 / $3,763.79	Professional		$1,047.48	$1,558.80	$3,763.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,355.86 / $1,355.86 / $3,016.95	Facility		$1,355.86	$1,355.86	$3,016.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,044.82 / $1,558.32 / $2,760.72	Professional		$1,044.82	$1,558.32	$2,760.72