Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,817.98 / $4,792.00 / $10,768.00	Facility		$1,817.98	$4,792.00	$10,768.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,284.81 / $1,787.73 / $3,320.21	Professional		$1,284.81	$1,787.73	$3,320.21
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 $1,147.99 / $1,500.65 / $3,714.78	Professional		$1,147.99	$1,500.65	$3,714.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,093.08 / $2,644.00 / $12,319.50	Facility		$2,093.08	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,093.08 / $2,093.08 / $2,093.08	Professional		$2,093.08	$2,093.08	$2,093.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,674.77 / $1,674.77 / $7,227.90	Facility		$1,674.77	$1,674.77	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.85 / $2,499.98 / $5,326.80	Professional		$1,117.85	$2,499.98	$5,326.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,583.25 / $3,876.26	Facility		$319.00	$1,583.25	$3,876.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,722.78 / $2,018.66 / $3,021.03	Professional		$1,722.78	$2,018.66	$3,021.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,214.56 / $1,424.57 / $2,743.47	Professional		$1,214.56	$1,424.57	$2,743.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,674.77 / $8,498.00	Facility		$597.00	$1,674.77	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,378.22 / $2,598.06 / $5,437.86	Professional		$1,378.22	$2,598.06	$5,437.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,395.00 / $14,770.00	Facility		$2,705.00	$7,395.00	$14,770.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,244.17 / $1,814.93 / $4,108.60	Professional		$1,244.17	$1,814.93	$4,108.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,616.19 / $1,616.19 / $2,118.05	Facility		$1,616.19	$1,616.19	$2,118.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,273.10 / $1,616.19 / $3,150.75	Professional		$1,273.10	$1,616.19	$3,150.75