Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,555.39 / $3,020.00 / $9,661.00	Facility		$1,555.39	$3,020.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,190.61 / $1,549.80 / $2,498.12	Professional		$1,190.61	$1,549.80	$2,498.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,922.00 / $11,208.00	Facility		$3,283.00	$4,922.00	$11,208.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,064.69 / $1,322.17 / $2,993.73	Professional		$1,064.69	$1,322.17	$2,993.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,821.85 / $1,821.85 / $37,499.62	Facility		$1,821.85	$1,821.85	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,821.85 / $1,821.85 / $1,821.85	Professional		$1,821.85	$1,821.85	$1,821.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,468.20 / $1,468.20 / $7,227.90	Facility		$1,468.20	$1,468.20	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,007.41 / $1,989.90 / $4,564.89	Professional		$1,007.41	$1,989.90	$4,564.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,323.00 / $3,325.91	Facility		$332.00	$1,323.00	$3,325.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,330.36 / $1,750.85 / $2,620.23	Professional		$1,330.36	$1,750.85	$2,620.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,207.48 / $1,207.48 / $1,207.48	Facility		$1,207.48	$1,207.48	$1,207.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,036.09 / $1,388.60 / $2,399.82	Professional		$1,036.09	$1,388.60	$2,399.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,468.20 / $7,227.90	Facility		$597.00	$1,468.20	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,182.54 / $1,876.64 / $4,341.78	Professional		$1,182.54	$1,876.64	$4,341.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,331.00 / $4,194.00 / $9,020.04	Facility		$1,331.00	$4,194.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,050.72 / $1,483.70 / $3,339.58	Professional		$1,050.72	$1,483.70	$3,339.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,546.28 / $1,546.28 / $4,664.05	Facility		$1,546.28	$1,546.28	$4,664.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,036.09 / $1,734.21 / $3,287.26	Professional		$1,036.09	$1,734.21	$3,287.26