Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $4,392.00 / $10,296.00	Facility		$1,516.00	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,168.33 / $1,640.73 / $3,073.21	Professional		$1,168.33	$1,640.73	$3,073.21
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 $1,137.83 / $1,487.38 / $3,453.62	Professional		$1,137.83	$1,487.38	$3,453.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,951.71 / $1,951.71 / $37,499.62	Facility		$1,951.71	$1,951.71	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,951.71 / $1,951.71 / $1,951.71	Professional		$1,951.71	$1,951.71	$1,951.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,578.12 / $1,578.12 / $7,227.90	Facility		$1,578.12	$1,578.12	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,151.49 / $2,406.78 / $5,392.83	Professional		$1,151.49	$2,406.78	$5,392.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,840.00 / $3,691.19	Facility		$319.00	$1,840.00	$3,691.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,614.32 / $1,843.50 / $2,838.12	Professional		$1,614.32	$1,843.50	$2,838.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,108.46 / $1,475.00 / $2,529.89	Professional		$1,108.46	$1,475.00	$2,529.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,578.12 / $7,227.90	Facility		$555.00	$1,578.12	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,406.51 / $2,404.36 / $5,153.79	Professional		$1,406.51	$2,404.36	$5,153.79
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 $1,236.38 / $1,853.63 / $4,929.39	Professional		$1,236.38	$1,853.63	$4,929.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,475.00 / $1,475.00 / $4,909.53	Facility		$1,475.00	$1,475.00	$4,909.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,203.88 / $1,695.25 / $3,208.01	Professional		$1,203.88	$1,695.25	$3,208.01