Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,524.50 / $4,043.00 / $10,296.00	Facility		$1,524.50	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.11 / $1,557.39 / $3,169.20	Professional		$1,195.11	$1,557.39	$3,169.20
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 $1,083.54 / $1,416.40 / $3,332.39	Professional		$1,083.54	$1,416.40	$3,332.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,853.53 / $1,853.53 / $37,499.62	Facility		$1,853.53	$1,853.53	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,853.53 / $1,853.53 / $1,853.53	Professional		$1,853.53	$1,853.53	$1,853.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,498.66 / $1,498.66 / $7,227.90	Facility		$1,498.66	$1,498.66	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,093.33 / $2,428.46 / $5,138.76	Professional		$1,093.33	$2,428.46	$5,138.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,703.00 / $3,504.65	Facility		$319.00	$1,703.00	$3,504.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,532.41 / $1,750.16 / $2,694.68	Professional		$1,532.41	$1,750.16	$2,694.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,060.18 / $1,226.29 / $2,400.91	Professional		$1,060.18	$1,226.29	$2,400.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,498.66 / $7,227.90	Facility		$555.00	$1,498.66	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,338.57 / $2,392.94 / $5,138.76	Professional		$1,338.57	$2,392.94	$5,138.76
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 $1,155.59 / $1,675.43 / $4,718.47	Professional		$1,155.59	$1,675.43	$4,718.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,399.80 / $1,399.80 / $4,563.59	Facility		$1,399.80	$1,399.80	$4,563.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,122.45 / $1,513.29 / $3,044.45	Professional		$1,122.45	$1,513.29	$3,044.45