Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,446.41 / $4,392.00 / $10,686.00	Facility		$1,446.41	$4,392.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,050.77 / $1,446.41 / $2,938.85	Professional		$1,050.77	$1,446.41	$2,938.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,720.00 / $16,411.00	Facility		$4,989.00	$9,720.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,005.04 / $1,313.78 / $3,085.68	Professional		$1,005.04	$1,313.78	$3,085.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,719.59 / $1,719.59 / $37,499.62	Facility		$1,719.59	$1,719.59	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,719.59 / $1,719.59 / $1,719.59	Professional		$1,719.59	$1,719.59	$1,719.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,391.08 / $1,391.08 / $7,227.90	Facility		$1,391.08	$1,391.08	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,221.38 / $2,251.00 / $4,537.87	Professional		$1,221.38	$2,251.00	$4,537.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,297.63 / $3,262.16	Facility		$319.00	$1,297.63	$3,262.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,427.39 / $1,629.67 / $2,508.23	Professional		$1,427.39	$1,629.67	$2,508.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $985.87 / $1,138.34 / $2,233.44	Professional		$985.87	$1,138.34	$2,233.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,391.08 / $7,227.90	Facility		$555.00	$1,391.08	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,246.55 / $2,227.14 / $4,537.87	Professional		$1,246.55	$2,227.14	$4,537.87
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 $1,075.64 / $1,552.67 / $4,001.00	Professional		$1,075.64	$1,552.67	$4,001.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,302.17 / $1,302.17 / $4,057.16	Facility		$1,302.17	$1,302.17	$4,057.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,042.94 / $1,496.61 / $2,832.11	Professional		$1,042.94	$1,496.61	$2,832.11