Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,524.03 / $3,100.00 / $10,170.00	Facility		$1,524.03	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,216.38 / $1,524.03 / $2,634.37	Professional		$1,216.38	$1,524.03	$2,634.37
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 $1,071.44 / $1,330.55 / $3,061.22	Professional		$1,071.44	$1,330.55	$3,061.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,844.08 / $1,844.08 / $37,499.62	Facility		$1,844.08	$1,844.08	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,844.08 / $1,844.08 / $1,844.08	Professional		$1,844.08	$1,844.08	$1,844.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,491.88 / $1,491.88 / $7,227.90	Facility		$1,491.88	$1,491.88	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,110.57 / $2,061.44 / $4,829.25	Professional		$1,110.57	$2,061.44	$4,829.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,113.00 / $3,507.30	Facility		$332.00	$1,113.00	$3,507.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,402.92 / $1,801.28 / $2,696.72	Professional		$1,402.92	$1,801.28	$2,696.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,209.15 / $1,209.15 / $1,209.15	Facility		$1,209.15	$1,209.15	$1,209.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,053.38 / $1,390.52 / $2,402.88	Professional		$1,053.38	$1,390.52	$2,402.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,491.88 / $7,227.90	Facility		$597.00	$1,491.88	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,324.69 / $1,954.31 / $4,501.13	Professional		$1,324.69	$1,954.31	$4,501.13
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 $1,086.55 / $1,558.80 / $3,914.58	Professional		$1,086.55	$1,558.80	$3,914.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,548.25 / $1,548.25 / $4,732.43	Facility		$1,548.25	$1,548.25	$4,732.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,096.23 / $1,623.90 / $3,291.45	Professional		$1,096.23	$1,623.90	$3,291.45