Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,404.55 / $3,100.00 / $10,170.00	Facility		$1,404.55	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,097.71 / $1,404.55 / $2,571.37	Professional		$1,097.71	$1,404.55	$2,571.37
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 $1,015.73 / $1,256.41 / $2,814.30	Professional		$1,015.73	$1,256.41	$2,814.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,794.87 / $1,794.87 / $37,499.62	Facility		$1,794.87	$1,794.87	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,794.87 / $1,794.87 / $1,794.87	Professional		$1,794.87	$1,794.87	$1,794.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,443.76 / $1,443.76 / $7,227.90	Facility		$1,443.76	$1,443.76	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,005.39 / $1,837.66 / $4,699.42	Professional		$1,005.39	$1,837.66	$4,699.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,050.00 / $3,423.42	Facility		$332.00	$1,050.00	$3,423.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,369.37 / $1,757.41 / $2,632.23	Professional		$1,369.37	$1,757.41	$2,632.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,176.58 / $1,176.58 / $1,176.58	Facility		$1,176.58	$1,176.58	$1,176.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $953.49 / $1,502.41 / $2,331.73	Professional		$953.49	$1,502.41	$2,331.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,443.76 / $7,227.90	Facility		$597.00	$1,443.76	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,114.32 / $1,794.77 / $4,246.64	Professional		$1,114.32	$1,794.77	$4,246.64
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 $1,066.81 / $1,516.88 / $3,833.94	Professional		$1,066.81	$1,516.88	$3,833.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,502.41 / $1,502.41 / $4,214.04	Facility		$1,502.41	$1,502.41	$4,214.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $953.49 / $1,685.01 / $3,194.00	Professional		$953.49	$1,685.01	$3,194.00