Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,281.20 / $3,100.00 / $10,686.00	Facility		$1,281.20	$3,100.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,114.26 / $1,324.30 / $2,805.08	Professional		$1,114.26	$1,324.30	$2,805.08
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 $983.09 / $1,207.98 / $2,675.70	Professional		$983.09	$1,207.98	$2,675.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,736.50 / $1,736.50 / $37,499.62	Facility		$1,736.50	$1,736.50	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,736.50 / $1,736.50 / $1,736.50	Professional		$1,736.50	$1,736.50	$1,736.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,399.41 / $1,399.41 / $7,227.90	Facility		$1,399.41	$1,399.41	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $980.09 / $1,740.24 / $4,581.08	Professional		$980.09	$1,740.24	$4,581.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,053.00 / $3,345.05	Facility		$332.00	$1,053.00	$3,345.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,338.02 / $1,719.10 / $2,571.96	Professional		$1,338.02	$1,719.10	$2,571.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.30 / $1,152.30 / $1,152.30	Facility		$1,152.30	$1,152.30	$1,152.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $872.18 / $1,467.89 / $2,278.16	Professional		$872.18	$1,467.89	$2,278.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,399.41 / $7,227.90	Facility		$597.00	$1,399.41	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,050.00 / $1,712.40 / $4,041.54	Professional		$1,050.00	$1,712.40	$4,041.54
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 $1,022.66 / $1,457.31 / $3,588.00	Professional		$1,022.66	$1,457.31	$3,588.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,467.89 / $1,467.89 / $3,827.42	Facility		$1,467.89	$1,467.89	$3,827.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $872.18 / $1,646.29 / $3,102.88	Professional		$872.18	$1,646.29	$3,102.88