Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,663.75 / $3,143.11 / $10,170.00	Facility		$1,663.75	$3,143.11	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,338.31 / $1,665.54 / $2,788.45	Professional		$1,338.31	$1,665.54	$2,788.45
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 $1,141.78 / $1,417.90 / $3,275.14	Professional		$1,141.78	$1,417.90	$3,275.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,958.02 / $1,958.02 / $37,499.62	Facility		$1,958.02	$1,958.02	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,958.02 / $1,958.02 / $1,958.02	Professional		$1,958.02	$1,958.02	$1,958.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.30 / $1,584.30 / $7,227.90	Facility		$1,584.30	$1,584.30	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,179.42 / $2,179.71 / $5,115.75	Professional		$1,179.42	$2,179.71	$5,115.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,870.00 / $3,712.43	Facility		$332.00	$1,870.00	$3,712.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,484.97 / $1,906.01 / $2,854.45	Professional		$1,484.97	$1,906.01	$2,854.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,279.02 / $1,279.02 / $1,279.02	Facility		$1,279.02	$1,279.02	$1,279.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,159.26 / $1,639.13 / $2,543.92	Professional		$1,159.26	$1,639.13	$2,543.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,584.30 / $7,227.90	Facility		$597.00	$1,584.30	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,418.40 / $2,101.05 / $4,765.02	Professional		$1,418.40	$2,101.05	$4,765.02
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 $1,172.83 / $1,713.83 / $4,174.27	Professional		$1,172.83	$1,713.83	$4,174.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,639.13 / $1,639.13 / $5,223.18	Facility		$1,639.13	$1,639.13	$5,223.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,159.26 / $1,838.34 / $3,484.65	Professional		$1,159.26	$1,838.34	$3,484.65