Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,229.34 / $3,419.00 / $10,170.00	Facility		$1,229.34	$3,419.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,054.94 / $1,269.69 / $2,190.48	Professional		$1,054.94	$1,269.69	$2,190.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,975.00 / $11,448.00	Facility		$3,283.00	$4,975.00	$11,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $950.17 / $1,179.95 / $2,576.01	Professional		$950.17	$1,179.95	$2,576.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,639.81 / $1,639.81 / $37,499.62	Facility		$1,639.81	$1,639.81	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,639.81 / $1,639.81 / $1,639.81	Professional		$1,639.81	$1,639.81	$1,639.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,325.54 / $1,325.54 / $7,227.90	Facility		$1,325.54	$1,325.54	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $958.79 / $1,731.48 / $4,212.49	Professional		$958.79	$1,731.48	$4,212.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $950.00 / $3,132.99	Facility		$332.00	$950.00	$3,132.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,253.20 / $1,607.51 / $2,408.92	Professional		$1,253.20	$1,607.51	$2,408.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,074.92 / $1,074.92 / $1,074.92	Facility		$1,074.92	$1,074.92	$1,074.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $934.17 / $1,236.16 / $2,132.11	Professional		$934.17	$1,236.16	$2,132.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,325.54 / $7,227.90	Facility		$597.00	$1,325.54	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,092.00 / $1,678.25 / $3,970.54	Professional		$1,092.00	$1,678.25	$3,970.54
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,020.04	Facility		$996.00	$4,194.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,021.23 / $1,504.62 / $3,327.24	Professional		$1,021.23	$1,504.62	$3,327.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,228.30 / $1,228.30 / $3,210.95	Facility		$1,228.30	$1,228.30	$3,210.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $955.88 / $1,521.01 / $2,920.55	Professional		$955.88	$1,521.01	$2,920.55