Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,637.66 / $4,392.00 / $10,296.00	Facility		$1,637.66	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,264.16 / $1,691.38 / $3,485.70	Professional		$1,264.16	$1,691.38	$3,485.70
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 $1,173.30 / $1,533.73 / $3,617.91	Professional		$1,173.30	$1,533.73	$3,617.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,011.43 / $2,011.43 / $37,499.62	Facility		$2,011.43	$2,011.43	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,011.43 / $2,011.43 / $2,011.43	Professional		$2,011.43	$2,011.43	$2,011.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,626.62 / $1,626.62 / $7,227.90	Facility		$1,626.62	$1,626.62	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,187.42 / $2,634.58 / $5,564.54	Professional		$1,187.42	$2,634.58	$5,564.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,819.00 / $3,807.09	Facility		$319.00	$1,819.00	$3,807.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,664.59 / $1,900.66 / $2,927.23	Professional		$1,664.59	$1,900.66	$2,927.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.35 / $1,519.98 / $2,607.04	Professional		$1,148.35	$1,519.98	$2,607.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,626.62 / $7,227.90	Facility		$555.00	$1,626.62	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,450.60 / $2,577.48 / $5,564.54	Professional		$1,450.60	$2,577.48	$5,564.54
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 $1,275.14 / $1,866.32 / $4,582.93	Professional		$1,275.14	$1,866.32	$4,582.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,519.98 / $1,519.98 / $5,156.60	Facility		$1,519.98	$1,519.98	$5,156.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,262.50 / $1,746.95 / $3,305.84	Professional		$1,262.50	$1,746.95	$3,305.84