Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,552.16 / $3,100.00 / $10,170.00	Facility		$1,552.16	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,218.83 / $1,544.64 / $2,602.58	Professional		$1,218.83	$1,544.64	$2,602.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,869.00	Facility		$4,100.00	$7,264.00	$12,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,059.06 / $1,315.18 / $3,023.53	Professional		$1,059.06	$1,315.18	$3,023.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,821.86 / $1,821.86 / $37,499.62	Facility		$1,821.86	$1,821.86	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,821.86 / $1,821.86 / $1,821.86	Professional		$1,821.86	$1,821.86	$1,821.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,474.51 / $1,474.51 / $7,227.90	Facility		$1,474.51	$1,474.51	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,097.83 / $2,054.55 / $4,771.75	Professional		$1,097.83	$2,054.55	$4,771.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,065.75 / $3,464.98	Facility		$332.00	$1,065.75	$3,464.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,385.99 / $1,779.47 / $2,664.18	Professional		$1,385.99	$1,779.47	$2,664.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,194.42 / $1,194.42 / $1,194.42	Facility		$1,194.42	$1,194.42	$1,194.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,041.83 / $1,529.69 / $2,374.08	Professional		$1,041.83	$1,529.69	$2,374.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,474.51 / $7,227.90	Facility		$597.00	$1,474.51	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,342.13 / $1,973.76 / $4,448.67	Professional		$1,342.13	$1,973.76	$4,448.67
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 $1,094.66 / $1,580.92 / $3,933.03	Professional		$1,094.66	$1,580.92	$3,933.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,529.69 / $1,529.69 / $5,170.82	Facility		$1,529.69	$1,529.69	$5,170.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,083.69 / $1,715.61 / $3,252.00	Professional		$1,083.69	$1,715.61	$3,252.00