Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,428.69 / $4,905.00 / $11,653.00	Facility		$1,428.69	$4,905.00	$11,653.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,220.14 / $1,540.35 / $2,981.13	Professional		$1,220.14	$1,540.35	$2,981.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $990.96 / $1,281.60 / $3,524.84	Professional		$990.96	$1,281.60	$3,524.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,659.16 / $2,644.00 / $12,319.50	Facility		$1,659.16	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,659.16 / $1,659.16 / $2,130.40	Professional		$1,659.16	$1,659.16	$2,130.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.63 / $1,995.63 / $7,289.38	Facility		$1,995.63	$1,995.63	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $931.21 / $2,166.73 / $5,295.33	Professional		$931.21	$2,166.73	$5,295.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,262.59 / $3,116.57	Facility		$319.00	$1,262.59	$3,116.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,772.94 / $2,152.06 / $3,051.69	Professional		$1,772.94	$2,152.06	$3,051.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.49 / $1,797.53 / $2,789.77	Professional		$1,122.49	$1,797.53	$2,789.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,995.63 / $7,289.38	Facility		$555.00	$1,995.63	$7,289.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,167.33 / $2,272.48 / $5,205.99	Professional		$1,167.33	$2,272.48	$5,205.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,244.51 / $1,843.25 / $4,261.05	Professional		$1,244.51	$1,843.25	$4,261.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,405.42 / $1,405.42 / $4,565.06	Facility		$1,405.42	$1,405.42	$4,565.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,122.49 / $1,869.39 / $3,170.89	Professional		$1,122.49	$1,869.39	$3,170.89