Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,651.67 / $5,700.00 / $12,592.00	Facility		$1,651.67	$5,700.00	$12,592.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,227.04 / $1,619.26 / $2,774.73	Professional		$1,227.04	$1,619.26	$2,774.73
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 $1,160.41 / $1,425.86 / $3,116.66	Professional		$1,160.41	$1,425.86	$3,116.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,943.24 / $1,943.24 / $13,477.50	Facility		$1,943.24	$1,943.24	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,943.24 / $1,943.24 / $1,943.24	Professional		$1,943.24	$1,943.24	$1,943.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,566.26 / $1,566.26 / $7,227.90	Facility		$1,566.26	$1,566.26	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,107.36 / $2,054.16 / $5,082.80	Professional		$1,107.36	$2,054.16	$5,082.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,392.00 / $3,694.16	Facility		$332.00	$1,392.00	$3,694.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,477.67 / $1,895.58 / $2,840.40	Professional		$1,477.67	$1,895.58	$2,840.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,267.94 / $1,267.94 / $1,267.94	Facility		$1,267.94	$1,267.94	$1,267.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,066.94 / $1,623.29 / $2,519.35	Professional		$1,066.94	$1,623.29	$2,519.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,566.26 / $41,554.00	Facility		$597.00	$1,566.26	$41,554.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,240.77 / $1,989.84 / $4,736.18	Professional		$1,240.77	$1,989.84	$4,736.18
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 $1,160.64 / $1,609.33 / $4,162.74	Professional		$1,160.64	$1,609.33	$4,162.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,623.29 / $1,623.29 / $4,942.97	Facility		$1,623.29	$1,623.29	$4,942.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,066.94 / $1,820.59 / $3,450.99	Professional		$1,066.94	$1,820.59	$3,450.99