Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,598.68 / $4,392.00 / $10,296.00	Facility		$1,598.68	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,159.29 / $1,662.52 / $3,330.97	Professional		$1,159.29	$1,662.52	$3,330.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,204.00 / $11,909.00	Facility		$3,283.00	$5,204.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,152.19 / $1,506.14 / $3,526.77	Professional		$1,152.19	$1,506.14	$3,526.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,991.00 / $1,991.00 / $37,499.62	Facility		$1,991.00	$1,991.00	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,991.00 / $1,991.00 / $1,991.00	Professional		$1,991.00	$1,991.00	$1,991.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,624.09 / $1,624.09 / $7,227.90	Facility		$1,624.09	$1,624.09	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,347.39 / $2,487.69 / $5,255.99	Professional		$1,347.39	$2,487.69	$5,255.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,544.84 / $3,864.78	Facility		$319.00	$1,544.84	$3,864.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,699.32 / $1,944.10 / $2,971.59	Professional		$1,699.32	$1,944.10	$2,971.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,111.39 / $1,436.83 / $2,464.41	Professional		$1,111.39	$1,436.83	$2,464.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,624.09 / $7,227.90	Facility		$555.00	$1,624.09	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,429.68 / $2,493.23 / $5,255.99	Professional		$1,429.68	$2,493.23	$5,255.99
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 $1,256.75 / $1,815.31 / $4,239.68	Professional		$1,256.75	$1,815.31	$4,239.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,436.83 / $1,436.83 / $4,225.83	Facility		$1,436.83	$1,436.83	$4,225.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,143.89 / $1,651.37 / $3,124.98	Professional		$1,143.89	$1,651.37	$3,124.98