Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,401.25 / $3,621.00 / $10,965.00	Facility		$1,401.25	$3,621.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,025.75 / $1,359.89 / $2,413.51	Professional		$1,025.75	$1,359.89	$2,413.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,975.00 / $11,448.00	Facility		$3,283.00	$4,975.00	$11,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $960.58 / $1,192.88 / $2,719.35	Professional		$960.58	$1,192.88	$2,719.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,661.93 / $1,661.93 / $37,499.62	Facility		$1,661.93	$1,661.93	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,661.93 / $1,661.93 / $1,661.93	Professional		$1,661.93	$1,661.93	$1,661.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,357.84 / $1,357.84 / $7,227.90	Facility		$1,357.84	$1,357.84	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.16 / $1,763.89 / $4,407.25	Professional		$975.16	$1,763.89	$4,407.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,155.00 / $3,213.25	Facility		$332.00	$1,155.00	$3,213.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,285.30 / $1,647.82 / $2,470.63	Professional		$1,285.30	$1,647.82	$2,470.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,103.18 / $1,103.18 / $1,103.18	Facility		$1,103.18	$1,103.18	$1,103.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $909.02 / $1,410.04 / $2,188.38	Professional		$909.02	$1,410.04	$2,188.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,357.84 / $7,227.90	Facility		$597.00	$1,357.84	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,142.25 / $1,704.01 / $4,082.69	Professional		$1,142.25	$1,704.01	$4,082.69
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 $992.31 / $1,410.35 / $3,285.51	Professional		$992.31	$1,410.35	$3,285.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,410.04 / $1,410.04 / $4,110.39	Facility		$1,410.04	$1,410.04	$4,110.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $909.02 / $1,581.42 / $2,997.63	Professional		$909.02	$1,581.42	$2,997.63