Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,468.65 / $4,392.00 / $10,296.00	Facility		$1,468.65	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.78 / $1,427.26 / $3,058.97	Professional		$1,230.78	$1,427.26	$3,058.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,574.00 / $7,688.00 / $14,242.23	Facility		$4,574.00	$7,688.00	$14,242.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,053.43 / $1,377.04 / $3,212.48	Professional		$1,053.43	$1,377.04	$3,212.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,836.54 / $1,836.54 / $37,499.62	Facility		$1,836.54	$1,836.54	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,836.54 / $1,836.54 / $1,836.54	Professional		$1,836.54	$1,836.54	$1,836.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,489.26 / $1,489.26 / $7,227.90	Facility		$1,489.26	$1,489.26	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,076.66 / $2,289.17 / $5,494.40	Professional		$1,076.66	$2,289.17	$5,494.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,820.00 / $3,478.43	Facility		$319.00	$1,820.00	$3,478.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,536.48 / $1,765.68 / $2,674.53	Professional		$1,536.48	$1,765.68	$2,674.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,057.29 / $1,390.18 / $2,590.92	Professional		$1,057.29	$1,390.18	$2,590.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,489.26 / $7,227.90	Facility		$555.00	$1,489.26	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,093.56 / $2,289.17 / $4,983.60	Professional		$1,093.56	$2,289.17	$4,983.60
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 $1,228.82 / $1,726.55 / $4,085.98	Professional		$1,228.82	$1,726.55	$4,085.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,390.18 / $1,390.18 / $4,011.02	Facility		$1,390.18	$1,390.18	$4,011.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,116.77 / $1,616.99 / $3,059.92	Professional		$1,116.77	$1,616.99	$3,059.92