Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,585.60 / $3,621.00 / $10,965.00	Facility		$1,585.60	$3,621.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,182.26 / $1,499.70 / $2,591.71	Professional		$1,182.26	$1,499.70	$2,591.71
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 $1,084.67 / $1,334.86 / $3,041.51	Professional		$1,084.67	$1,334.86	$3,041.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,881.61 / $1,881.61 / $37,499.62	Facility		$1,881.61	$1,881.61	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,881.61 / $1,881.61 / $1,881.61	Professional		$1,881.61	$1,881.61	$1,881.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.73 / $1,513.73 / $7,227.90	Facility		$1,513.73	$1,513.73	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,076.90 / $1,979.60 / $4,923.68	Professional		$1,076.90	$1,979.60	$4,923.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,289.00 / $3,579.39	Facility		$332.00	$1,289.00	$3,579.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,431.76 / $1,837.28 / $2,752.15	Professional		$1,431.76	$1,837.28	$2,752.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,229.42 / $1,229.42 / $1,229.42	Facility		$1,229.42	$1,229.42	$1,229.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,018.84 / $1,573.53 / $2,442.12	Professional		$1,018.84	$1,573.53	$2,442.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,513.73 / $41,554.00	Facility		$597.00	$1,513.73	$41,554.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,176.00 / $1,919.73 / $4,593.21	Professional		$1,176.00	$1,919.73	$4,593.21
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 $1,112.20 / $1,517.53 / $3,855.97	Professional		$1,112.20	$1,517.53	$3,855.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,573.53 / $1,573.53 / $4,601.53	Facility		$1,573.53	$1,573.53	$4,601.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,018.84 / $1,764.78 / $3,345.20	Professional		$1,018.84	$1,764.78	$3,345.20