Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,528.04 / $4,392.00 / $10,296.00	Facility		$1,528.04	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,146.77 / $1,564.63 / $3,058.44	Professional		$1,146.77	$1,564.63	$3,058.44
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 $1,088.32 / $1,422.65 / $3,342.22	Professional		$1,088.32	$1,422.65	$3,342.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,861.21 / $1,861.21 / $37,499.62	Facility		$1,861.21	$1,861.21	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,861.21 / $1,861.21 / $1,861.21	Professional		$1,861.21	$1,861.21	$1,861.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,505.75 / $1,505.75 / $7,227.90	Facility		$1,505.75	$1,505.75	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,299.06 / $2,456.67 / $4,912.83	Professional		$1,299.06	$2,456.67	$4,912.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,402.21 / $3,525.84	Facility		$319.00	$1,402.21	$3,525.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,542.43 / $1,761.30 / $2,710.98	Professional		$1,542.43	$1,761.30	$2,710.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,066.09 / $1,408.39 / $2,415.63	Professional		$1,066.09	$1,408.39	$2,415.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,505.75 / $7,227.90	Facility		$555.00	$1,505.75	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,348.83 / $2,430.60 / $4,912.83	Professional		$1,348.83	$2,430.60	$4,912.83
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 $1,162.58 / $1,663.51 / $4,242.51	Professional		$1,162.58	$1,663.51	$4,242.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,408.39 / $1,408.39 / $4,341.68	Facility		$1,408.39	$1,408.39	$4,341.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,139.53 / $1,618.69 / $3,063.12	Professional		$1,139.53	$1,618.69	$3,063.12