Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.31 / $5,164.00 / $11,996.00	Facility		$1,513.31	$5,164.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,129.75 / $1,359.35 / $2,803.51	Professional		$1,129.75	$1,359.35	$2,803.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $9,202.00 / $15,596.00	Facility		$4,977.00	$9,202.00	$15,596.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $932.54 / $1,158.05 / $2,849.84	Professional		$932.54	$1,158.05	$2,849.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,773.74 / $1,773.74 / $12,319.50	Facility		$1,773.74	$1,773.74	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,773.74 / $1,773.74 / $1,773.74	Professional		$1,773.74	$1,773.74	$1,773.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,434.80 / $1,538.00 / $39,142.00	Facility		$1,434.80	$1,538.00	$39,142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,016.28 / $1,867.16 / $4,661.22	Professional		$1,016.28	$1,867.16	$4,661.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,346.10 / $3,391.27	Facility		$332.00	$1,346.10	$3,391.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,356.51 / $1,740.47 / $2,607.51	Professional		$1,356.51	$1,740.47	$2,607.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,164.51 / $1,164.51 / $1,164.51	Facility		$1,164.51	$1,164.51	$1,164.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $982.74 / $1,339.19 / $2,311.17	Professional		$982.74	$1,339.19	$2,311.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,434.80 / $39,142.00	Facility		$597.00	$1,434.80	$39,142.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,061.72 / $1,811.88 / $4,310.89	Professional		$1,061.72	$1,811.88	$4,310.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,286.00 / $7,719.00 / $18,284.00	Facility		$2,286.00	$7,719.00	$18,284.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,051.73 / $1,461.75 / $3,492.90	Professional		$1,051.73	$1,461.75	$3,492.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,489.15 / $1,489.15 / $4,718.12	Facility		$1,489.15	$1,489.15	$4,718.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $982.74 / $1,670.14 / $3,165.82	Professional		$982.74	$1,670.14	$3,165.82