Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,656.11 / $4,392.00 / $10,296.00	Facility		$1,656.11	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,192.27 / $1,715.47 / $3,297.91	Professional		$1,192.27	$1,715.47	$3,297.91
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 $1,126.58 / $1,472.67 / $3,589.02	Professional		$1,126.58	$1,472.67	$3,589.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,932.21 / $1,932.21 / $37,499.62	Facility		$1,932.21	$1,932.21	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,932.21 / $1,932.21 / $1,932.21	Professional		$1,932.21	$1,932.21	$1,932.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,636.46 / $1,636.46 / $7,227.90	Facility		$1,636.46	$1,636.46	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,114.39 / $2,521.26 / $5,355.20	Professional		$1,114.39	$2,521.26	$5,355.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,749.00 / $3,714.50	Facility		$319.00	$1,749.00	$3,714.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,650.89 / $1,945.76 / $2,911.92	Professional		$1,650.89	$1,945.76	$2,911.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,195.08 / $1,557.42 / $2,671.24	Professional		$1,195.08	$1,557.42	$2,671.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,636.46 / $7,227.90	Facility		$555.00	$1,636.46	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,394.64 / $2,520.77 / $5,355.20	Professional		$1,394.64	$2,520.77	$5,355.20
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 $1,224.80 / $1,812.32 / $4,265.88	Professional		$1,224.80	$1,812.32	$4,265.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,557.42 / $1,557.42 / $4,879.87	Facility		$1,557.42	$1,557.42	$4,879.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,195.08 / $1,789.97 / $3,387.25	Professional		$1,195.08	$1,789.97	$3,387.25