Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,544.03 / $3,621.00 / $10,965.00	Facility		$1,544.03	$3,621.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,165.88 / $1,544.03 / $2,651.58	Professional		$1,165.88	$1,544.03	$2,651.58
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 $1,070.31 / $1,322.75 / $3,000.94	Professional		$1,070.31	$1,322.75	$3,000.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,857.62 / $1,857.62 / $37,499.62	Facility		$1,857.62	$1,857.62	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,857.62 / $1,857.62 / $1,857.62	Professional		$1,857.62	$1,857.62	$1,857.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,493.83 / $1,493.83 / $7,227.90	Facility		$1,493.83	$1,493.83	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,063.76 / $1,952.98 / $4,859.63	Professional		$1,063.76	$1,952.98	$4,859.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,308.00 / $3,530.21	Facility		$332.00	$1,308.00	$3,530.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.08 / $1,812.19 / $2,714.34	Professional		$1,412.08	$1,812.19	$2,714.34
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,213.02 / $1,213.02 / $1,213.02	Facility		$1,213.02	$1,213.02	$1,213.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,001.09 / $1,553.04 / $2,410.32	Professional		$1,001.09	$1,553.04	$2,410.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,493.83 / $41,554.00	Facility		$597.00	$1,493.83	$41,554.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,176.00 / $1,894.27 / $4,530.47	Professional		$1,176.00	$1,894.27	$4,530.47
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 $1,097.76 / $1,535.41 / $3,717.14	Professional		$1,097.76	$1,535.41	$3,717.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,553.04 / $1,553.04 / $4,532.52	Facility		$1,553.04	$1,553.04	$4,532.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,001.09 / $1,741.80 / $3,301.64	Professional		$1,001.09	$1,741.80	$3,301.64