Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,317.58 / $3,100.00 / $10,170.00	Facility		$1,317.58	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,009.57 / $1,317.58 / $2,351.88	Professional		$1,009.57	$1,317.58	$2,351.88
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 $907.97 / $1,127.54 / $2,590.21	Professional		$907.97	$1,127.54	$2,590.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,594.58 / $1,594.58 / $37,499.62	Facility		$1,594.58	$1,594.58	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,594.58 / $1,594.58 / $1,594.58	Professional		$1,594.58	$1,594.58	$1,594.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,325.30 / $1,325.30 / $7,227.90	Facility		$1,325.30	$1,325.30	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $904.20 / $1,665.60 / $4,144.14	Professional		$904.20	$1,665.60	$4,144.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,052.00 / $3,150.27	Facility		$332.00	$1,052.00	$3,150.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,260.10 / $1,617.89 / $2,422.21	Professional		$1,260.10	$1,617.89	$2,422.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,083.57 / $1,083.57 / $1,083.57	Facility		$1,083.57	$1,083.57	$1,083.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $856.54 / $1,383.23 / $2,146.78	Professional		$856.54	$1,383.23	$2,146.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,325.30 / $7,227.90	Facility		$597.00	$1,325.30	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $991.58 / $1,621.48 / $3,859.01	Professional		$991.58	$1,621.48	$3,859.01
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 $939.28 / $1,331.74 / $3,078.17	Professional		$939.28	$1,331.74	$3,078.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,383.23 / $1,383.23 / $3,757.48	Facility		$1,383.23	$1,383.23	$3,757.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $856.54 / $1,551.35 / $2,940.64	Professional		$856.54	$1,551.35	$2,940.64