Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,573.00 / $5,167.00 / $11,161.00	Facility		$1,573.00	$5,167.00	$11,161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,105.34 / $1,547.90 / $3,307.89	Professional		$1,105.34	$1,547.90	$3,307.89
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 $994.07 / $1,299.44 / $3,037.44	Professional		$994.07	$1,299.44	$3,037.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,824.10 / $2,644.00 / $12,319.50	Facility		$1,824.10	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,824.10 / $1,824.10 / $1,824.10	Professional		$1,824.10	$1,824.10	$1,824.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,440.21 / $1,440.21 / $7,289.38	Facility		$1,440.21	$1,440.21	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.97 / $2,099.62 / $4,626.34	Professional		$953.97	$2,099.62	$4,626.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,362.03 / $3,333.56	Facility		$319.00	$1,362.03	$3,333.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,481.58 / $1,729.13 / $2,587.73	Professional		$1,481.58	$1,729.13	$2,587.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,004.99 / $1,390.91 / $2,361.05	Professional		$1,004.99	$1,390.91	$2,361.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,440.21 / $7,289.38	Facility		$555.00	$1,440.21	$7,289.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,025.69 / $2,131.19 / $4,668.50	Professional		$1,025.69	$2,131.19	$4,668.50
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 $1,077.90 / $1,564.36 / $3,557.49	Professional		$1,077.90	$1,564.36	$3,557.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,390.91 / $1,390.91 / $3,734.75	Facility		$1,390.91	$1,390.91	$3,734.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,004.99 / $1,598.60 / $3,025.10	Professional		$1,004.99	$1,598.60	$3,025.10