Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,338.70 / $4,392.00 / $10,296.00	Facility		$1,338.70	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.73 / $1,338.70 / $2,626.00	Professional		$1,016.73	$1,338.70	$2,626.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,578.00 / $14,193.00	Facility		$4,568.00	$7,578.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $925.97 / $1,210.43 / $2,854.36	Professional		$925.97	$1,210.43	$2,854.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,588.98 / $1,588.98 / $37,499.62	Facility		$1,588.98	$1,588.98	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,588.98 / $1,588.98 / $1,588.98	Professional		$1,588.98	$1,588.98	$1,588.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,285.61 / $1,285.61 / $7,227.90	Facility		$1,285.61	$1,285.61	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,125.24 / $2,015.86 / $4,188.38	Professional		$1,125.24	$2,015.86	$4,188.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,206.29 / $3,027.08	Facility		$319.00	$1,206.29	$3,027.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,326.92 / $1,514.29 / $2,327.48	Professional		$1,326.92	$1,514.29	$2,327.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $908.71 / $1,052.22 / $2,073.98	Professional		$908.71	$1,052.22	$2,073.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,285.61 / $7,227.90	Facility		$555.00	$1,285.61	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,149.27 / $2,004.60 / $4,188.38	Professional		$1,149.27	$2,004.60	$4,188.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $3,988.00 / $8,133.00	Facility		$1,479.00	$3,988.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $992.12 / $1,395.18 / $3,491.93	Professional		$992.12	$1,395.18	$3,491.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,209.20 / $1,209.20 / $3,331.93	Facility		$1,209.20	$1,209.20	$3,331.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $926.49 / $1,389.75 / $2,629.90	Professional		$926.49	$1,389.75	$2,629.90