Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,405.19 / $3,621.00 / $10,965.00	Facility		$1,405.19	$3,621.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,065.82 / $1,405.19 / $2,439.85	Professional		$1,065.82	$1,405.19	$2,439.85
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 $980.84 / $1,218.04 / $2,752.75	Professional		$980.84	$1,218.04	$2,752.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,698.04 / $1,698.04 / $37,499.62	Facility		$1,698.04	$1,698.04	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,698.04 / $1,698.04 / $1,698.04	Professional		$1,698.04	$1,698.04	$1,698.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,373.52 / $1,373.52 / $7,227.90	Facility		$1,373.52	$1,373.52	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $989.42 / $1,791.35 / $4,463.49	Professional		$989.42	$1,791.35	$4,463.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,217.84 / $3,248.33	Facility		$332.00	$1,217.84	$3,248.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,299.33 / $1,666.00 / $2,497.60	Professional		$1,299.33	$1,666.00	$2,497.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,115.52 / $1,115.52 / $1,115.52	Facility		$1,115.52	$1,115.52	$1,115.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $923.23 / $1,426.22 / $2,213.48	Professional		$923.23	$1,426.22	$2,213.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,373.52 / $7,227.90	Facility		$597.00	$1,373.52	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,144.59 / $1,735.13 / $4,155.84	Professional		$1,144.59	$1,735.13	$4,155.84
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 $1,013.66 / $1,430.48 / $3,635.09	Professional		$1,013.66	$1,430.48	$3,635.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,426.22 / $1,426.22 / $4,166.56	Facility		$1,426.22	$1,426.22	$4,166.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $923.23 / $1,599.56 / $3,032.03	Professional		$923.23	$1,599.56	$3,032.03