Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,593.11 / $3,100.00 / $10,170.00	Facility		$1,593.11	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,270.15 / $1,588.93 / $2,669.44	Professional		$1,270.15	$1,588.93	$2,669.44
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 $1,093.09 / $1,357.45 / $3,109.42	Professional		$1,093.09	$1,357.45	$3,109.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,873.14 / $1,873.14 / $37,499.62	Facility		$1,873.14	$1,873.14	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,873.14 / $1,873.14 / $1,873.14	Professional		$1,873.14	$1,873.14	$1,873.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,514.70 / $1,514.70 / $7,227.90	Facility		$1,514.70	$1,514.70	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.44 / $2,085.59 / $4,891.77	Professional		$1,127.44	$2,085.59	$4,891.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,050.00 / $3,553.99	Facility		$332.00	$1,050.00	$3,553.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,421.60 / $1,823.93 / $2,732.62	Professional		$1,421.60	$1,823.93	$2,732.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,224.41 / $1,224.41 / $1,224.41	Facility		$1,224.41	$1,224.41	$1,224.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,072.09 / $1,408.07 / $2,433.48	Professional		$1,072.09	$1,408.07	$2,433.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,514.70 / $7,227.90	Facility		$597.00	$1,514.70	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,376.86 / $2,005.64 / $4,561.77	Professional		$1,376.86	$2,005.64	$4,561.77
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 $1,114.39 / $1,578.37 / $3,950.84	Professional		$1,114.39	$1,578.37	$3,950.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,567.97 / $1,567.97 / $5,073.43	Facility		$1,567.97	$1,567.97	$5,073.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,124.23 / $1,758.54 / $3,333.38	Professional		$1,124.23	$1,758.54	$3,333.38