Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,531.08 / $4,905.00 / $12,051.00	Facility		$1,531.08	$4,905.00	$12,051.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,265.92 / $1,651.56 / $3,604.65	Professional		$1,265.92	$1,651.56	$3,604.65
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 $1,068.28 / $1,396.45 / $3,671.28	Professional		$1,068.28	$1,396.45	$3,671.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,704.75 / $2,644.00 / $12,319.50	Facility		$1,704.75	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,704.75 / $1,704.75 / $2,101.51	Professional		$1,704.75	$1,704.75	$2,101.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,050.19 / $2,050.19 / $7,289.38	Facility		$2,050.19	$2,050.19	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.24 / $2,207.83 / $5,110.33	Professional		$975.24	$2,207.83	$5,110.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,405.95 / $3,135.47	Facility		$319.00	$1,405.95	$3,135.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,706.78 / $1,999.93 / $2,992.99	Professional		$1,706.78	$1,999.93	$2,992.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,206.83 / $1,774.32 / $2,753.74	Professional		$1,206.83	$1,774.32	$2,753.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,050.19 / $7,289.38	Facility		$555.00	$2,050.19	$7,289.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,154.94 / $2,330.10 / $5,313.27	Professional		$1,154.94	$2,330.10	$5,313.27
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 $1,215.50 / $1,843.59 / $4,547.03	Professional		$1,215.50	$1,843.59	$4,547.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,446.97 / $1,446.97 / $5,232.58	Facility		$1,446.97	$1,446.97	$5,232.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,222.25 / $1,845.25 / $3,129.94	Professional		$1,222.25	$1,845.25	$3,129.94