Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.84 / $3,621.00 / $10,965.00	Facility		$1,614.84	$3,621.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,204.51 / $1,594.74 / $2,737.17	Professional		$1,204.51	$1,594.74	$2,737.17
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 $1,104.35 / $1,367.48 / $3,118.86	Professional		$1,104.35	$1,367.48	$3,118.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,916.13 / $1,916.13 / $37,499.62	Facility		$1,916.13	$1,916.13	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,916.13 / $1,916.13 / $1,916.13	Professional		$1,916.13	$1,916.13	$1,916.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,541.29 / $1,541.29 / $7,227.90	Facility		$1,541.29	$1,541.29	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.34 / $2,024.25 / $5,012.87	Professional		$1,096.34	$2,024.25	$5,012.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,347.00 / $3,644.17	Facility		$332.00	$1,347.00	$3,644.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,457.67 / $1,870.43 / $2,801.96	Professional		$1,457.67	$1,870.43	$2,801.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,251.41 / $1,251.41 / $1,251.41	Facility		$1,251.41	$1,251.41	$1,251.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,034.33 / $1,601.81 / $2,486.01	Professional		$1,034.33	$1,601.81	$2,486.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,541.29 / $41,554.00	Facility		$597.00	$1,541.29	$41,554.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,220.09 / $1,953.60 / $4,676.07	Professional		$1,220.09	$1,953.60	$4,676.07
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 $1,140.06 / $1,558.87 / $4,090.50	Professional		$1,140.06	$1,558.87	$4,090.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,601.81 / $1,601.81 / $4,677.62	Facility		$1,601.81	$1,601.81	$4,677.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,034.33 / $1,796.50 / $3,405.32	Professional		$1,034.33	$1,796.50	$3,405.32