Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,333.06 / $3,100.00 / $10,170.00	Facility		$1,333.06	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,095.35 / $1,334.81 / $2,246.48	Professional		$1,095.35	$1,334.81	$2,246.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,499.00 / $7,264.00 / $13,780.00	Facility		$4,499.00	$7,264.00	$13,780.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $919.79 / $1,142.22 / $2,660.70	Professional		$919.79	$1,142.22	$2,660.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,572.67 / $3,183.00 / $13,009.50	Facility		$1,572.67	$3,183.00	$13,009.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,572.67 / $1,572.67 / $1,572.67	Professional		$1,572.67	$1,572.67	$1,572.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,268.99 / $1,268.99 / $7,227.90	Facility		$1,268.99	$1,268.99	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $946.95 / $1,880.16 / $4,151.68	Professional		$946.95	$1,880.16	$4,151.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,308.00 / $2,967.28	Facility		$332.00	$1,308.00	$2,967.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,186.91 / $1,523.06 / $2,281.51	Professional		$1,186.91	$1,523.06	$2,281.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,021.79 / $1,021.79 / $1,021.79	Facility		$1,021.79	$1,021.79	$1,021.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $811.33 / $1,310.08 / $2,033.25	Professional		$811.33	$1,310.08	$2,033.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,268.99 / $7,227.90	Facility		$597.00	$1,268.99	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,164.38 / $1,697.94 / $3,833.47	Professional		$1,164.38	$1,697.94	$3,833.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,419.00 / $3,962.00 / $7,222.00	Facility		$1,419.00	$3,962.00	$7,222.00
United Facility/Professional Professional Modifier Low / Median / High Price $975.00 / $1,346.36 / $3,375.38	Professional		$975.00	$1,346.36	$3,375.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,310.08 / $1,310.08 / $3,032.34	Facility		$1,310.08	$1,310.08	$3,032.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $811.33 / $1,469.31 / $2,785.13	Professional		$811.33	$1,469.31	$2,785.13