Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,524.73 / $3,890.35 / $10,170.00	Facility		$1,524.73	$3,890.35	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,235.75 / $1,614.94 / $3,300.84	Professional		$1,235.75	$1,614.94	$3,300.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,268.00 / $12,869.00	Facility		$4,100.00	$7,268.00	$12,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,114.49 / $1,456.86 / $3,440.09	Professional		$1,114.49	$1,456.86	$3,440.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,918.43 / $1,918.43 / $37,499.62	Facility		$1,918.43	$1,918.43	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,918.43 / $1,918.43 / $1,918.43	Professional		$1,918.43	$1,918.43	$1,918.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,551.95 / $1,551.95 / $7,227.90	Facility		$1,551.95	$1,551.95	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,130.43 / $2,515.50 / $5,289.55	Professional		$1,130.43	$2,515.50	$5,289.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,552.00 / $3,640.10	Facility		$319.00	$1,552.00	$3,640.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,593.48 / $1,819.11 / $2,798.83	Professional		$1,593.48	$1,819.11	$2,798.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,094.50 / $1,454.44 / $2,494.62	Professional		$1,094.50	$1,454.44	$2,494.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,551.95 / $7,227.90	Facility		$555.00	$1,551.95	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,380.88 / $2,488.07 / $5,289.55	Professional		$1,380.88	$2,488.07	$5,289.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,191.83 / $1,731.91 / $4,360.47	Professional		$1,191.83	$1,731.91	$4,360.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,454.44 / $1,454.44 / $4,610.21	Facility		$1,454.44	$1,454.44	$4,610.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,153.03 / $1,671.61 / $3,163.27	Professional		$1,153.03	$1,671.61	$3,163.27