Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,581.09 / $3,100.00 / $10,170.00	Facility		$1,581.09	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,281.60 / $1,602.75 / $2,830.21	Professional		$1,281.60	$1,602.75	$2,830.21
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 $1,092.55 / $1,356.76 / $3,109.65	Professional		$1,092.55	$1,356.76	$3,109.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,867.23 / $3,478.50 / $13,477.50	Facility		$1,867.23	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,867.23 / $1,867.23 / $1,867.23	Professional		$1,867.23	$1,867.23	$1,867.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,507.97 / $1,507.97 / $7,227.90	Facility		$1,507.97	$1,507.97	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,123.17 / $2,164.23 / $4,854.78	Professional		$1,123.17	$2,164.23	$4,854.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,499.00 / $3,519.23	Facility		$332.00	$1,499.00	$3,519.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,407.69 / $1,806.13 / $2,705.89	Professional		$1,407.69	$1,806.13	$2,705.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,211.55 / $1,211.55 / $1,211.55	Facility		$1,211.55	$1,211.55	$1,211.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $935.99 / $1,554.61 / $2,412.76	Professional		$935.99	$1,554.61	$2,412.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,507.97 / $7,227.90	Facility		$597.00	$1,507.97	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,357.97 / $2,002.06 / $4,549.63	Professional		$1,357.97	$2,002.06	$4,549.63
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 $1,176.86 / $1,581.35 / $3,677.94	Professional		$1,176.86	$1,581.35	$3,677.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,554.61 / $1,554.61 / $3,529.10	Facility		$1,554.61	$1,554.61	$3,529.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $935.99 / $1,627.11 / $3,304.98	Professional		$935.99	$1,627.11	$3,304.98