Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,658.82 / $3,160.66 / $10,170.00	Facility		$1,658.82	$3,160.66	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,259.05 / $1,644.93 / $2,824.48	Professional		$1,259.05	$1,644.93	$2,824.48
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 $1,138.69 / $1,414.06 / $3,197.89	Professional		$1,138.69	$1,414.06	$3,197.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,968.95 / $1,968.95 / $37,499.62	Facility		$1,968.95	$1,968.95	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,968.95 / $1,968.95 / $1,968.95	Professional		$1,968.95	$1,968.95	$1,968.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,592.05 / $1,592.05 / $7,227.90	Facility		$1,592.05	$1,592.05	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.09 / $2,081.44 / $5,168.59	Professional		$1,124.09	$2,081.44	$5,168.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,800.00 / $3,760.40	Facility		$332.00	$1,800.00	$3,760.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,504.16 / $1,927.72 / $2,891.33	Professional		$1,504.16	$1,927.72	$2,891.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,290.94 / $1,290.94 / $1,290.94	Facility		$1,290.94	$1,290.94	$1,290.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,093.00 / $1,484.58 / $2,562.19	Professional		$1,093.00	$1,484.58	$2,562.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,592.05 / $7,227.90	Facility		$597.00	$1,592.05	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,259.78 / $2,013.67 / $4,813.51	Professional		$1,259.78	$2,013.67	$4,813.51
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 $1,179.10 / $1,677.31 / $3,691.71	Professional		$1,179.10	$1,677.31	$3,691.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,650.90 / $1,650.90 / $4,931.83	Facility		$1,650.90	$1,650.90	$4,931.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,093.00 / $1,851.55 / $3,509.69	Professional		$1,093.00	$1,851.55	$3,509.69