Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,677.36 / $3,200.98 / $10,170.00	Facility		$1,677.36	$3,200.98	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,256.33 / $1,665.40 / $2,858.87	Professional		$1,256.33	$1,665.40	$2,858.87
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 $1,153.59 / $1,432.58 / $3,259.26	Professional		$1,153.59	$1,432.58	$3,259.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,994.08 / $1,994.08 / $37,499.62	Facility		$1,994.08	$1,994.08	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,994.08 / $1,994.08 / $1,994.08	Professional		$1,994.08	$1,994.08	$1,994.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,612.09 / $1,612.09 / $7,227.90	Facility		$1,612.09	$1,612.09	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,138.40 / $2,114.64 / $5,233.77	Professional		$1,138.40	$2,114.64	$5,233.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,680.00 / $3,806.19	Facility		$332.00	$1,680.00	$3,806.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,522.48 / $1,951.43 / $2,926.54	Professional		$1,522.48	$1,951.43	$2,926.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,306.94 / $1,306.94 / $1,306.94	Facility		$1,306.94	$1,306.94	$1,306.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,082.53 / $1,671.79 / $2,594.62	Professional		$1,082.53	$1,671.79	$2,594.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,612.09 / $7,227.90	Facility		$597.00	$1,612.09	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,233.82 / $2,038.80 / $4,883.25	Professional		$1,233.82	$2,038.80	$4,883.25
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 $1,193.47 / $1,689.74 / $3,748.50	Professional		$1,193.47	$1,689.74	$3,748.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,671.79 / $1,671.79 / $4,981.13	Facility		$1,671.79	$1,671.79	$4,981.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,082.53 / $1,874.98 / $3,554.10	Professional		$1,082.53	$1,874.98	$3,554.10