Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,529.89 / $5,202.00 / $12,051.00	Facility		$1,529.89	$5,202.00	$12,051.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,129.91 / $1,499.47 / $2,570.37	Professional		$1,129.91	$1,499.47	$2,570.37
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 $1,070.09 / $1,325.90 / $2,876.34	Professional		$1,070.09	$1,325.90	$2,876.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,799.91 / $1,799.91 / $13,009.50	Facility		$1,799.91	$1,799.91	$13,009.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,799.91 / $1,799.91 / $1,799.91	Professional		$1,799.91	$1,799.91	$1,799.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,450.27 / $1,450.27 / $7,227.90	Facility		$1,450.27	$1,450.27	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,026.91 / $1,895.82 / $4,708.30	Professional		$1,026.91	$1,895.82	$4,708.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,304.09 / $3,422.09	Facility		$332.00	$1,304.09	$3,422.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,368.84 / $1,756.15 / $2,631.21	Professional		$1,368.84	$1,756.15	$2,631.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.92 / $1,174.92 / $1,174.92	Facility		$1,174.92	$1,174.92	$1,174.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $983.72 / $1,351.16 / $2,334.40	Professional		$983.72	$1,351.16	$2,334.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,450.27 / $41,554.00	Facility		$597.00	$1,450.27	$41,554.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,176.00 / $1,848.00 / $4,388.68	Professional		$1,176.00	$1,848.00	$4,388.68
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,202.00	Facility		$996.00	$4,194.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,073.03 / $1,538.13 / $3,856.59	Professional		$1,073.03	$1,538.13	$3,856.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,504.13 / $1,504.13 / $4,514.80	Facility		$1,504.13	$1,504.13	$4,514.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $983.72 / $1,577.92 / $3,197.65	Professional		$983.72	$1,577.92	$3,197.65