Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,487.74 / $3,100.00 / $10,170.00	Facility		$1,487.74	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,144.72 / $1,487.74 / $2,563.61	Professional		$1,144.72	$1,487.74	$2,563.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,975.00 / $11,448.00	Facility		$3,283.00	$4,975.00	$11,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,034.02 / $1,284.08 / $2,899.25	Professional		$1,034.02	$1,284.08	$2,899.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,795.41 / $1,795.41 / $37,499.62	Facility		$1,795.41	$1,795.41	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,795.41 / $1,795.41 / $1,795.41	Professional		$1,795.41	$1,795.41	$1,795.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,443.47 / $1,443.47 / $7,227.90	Facility		$1,443.47	$1,443.47	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,029.65 / $1,889.56 / $4,695.39	Professional		$1,029.65	$1,889.56	$4,695.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,270.50 / $3,413.09	Facility		$332.00	$1,270.50	$3,413.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,365.24 / $1,752.00 / $2,624.29	Professional		$1,365.24	$1,752.00	$2,624.29
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,172.52 / $1,172.52 / $1,172.52	Facility		$1,172.52	$1,172.52	$1,172.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $988.03 / $1,348.40 / $2,329.14	Professional		$988.03	$1,348.40	$2,329.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,443.47 / $7,227.90	Facility		$597.00	$1,443.47	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,176.00 / $1,845.75 / $4,380.00	Professional		$1,176.00	$1,845.75	$4,380.00
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 $1,070.21 / $1,510.60 / $3,561.56	Professional		$1,070.21	$1,510.60	$3,561.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,500.73 / $1,500.73 / $4,437.51	Facility		$1,500.73	$1,500.73	$4,437.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $988.03 / $1,683.13 / $3,190.44	Professional		$988.03	$1,683.13	$3,190.44