Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,745.52 / $3,621.00 / $10,965.00	Facility		$1,745.52	$3,621.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,312.98 / $1,737.49 / $2,978.98	Professional		$1,312.98	$1,737.49	$2,978.98
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 $1,203.97 / $1,495.12 / $3,376.62	Professional		$1,203.97	$1,495.12	$3,376.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,087.42 / $2,087.42 / $37,499.62	Facility		$2,087.42	$2,087.42	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,087.42 / $2,087.42 / $2,087.42	Professional		$2,087.42	$2,087.42	$2,087.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,679.11 / $1,679.11 / $7,227.90	Facility		$1,679.11	$1,679.11	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,176.00 / $2,197.33 / $5,456.58	Professional		$1,176.00	$2,197.33	$5,456.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,498.00 / $3,966.10	Facility		$332.00	$1,498.00	$3,966.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,586.44 / $2,035.57 / $3,049.49	Professional		$1,586.44	$2,035.57	$3,049.49
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,362.03 / $1,362.03 / $1,362.03	Facility		$1,362.03	$1,362.03	$1,362.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,135.32 / $1,743.62 / $2,706.10	Professional		$1,135.32	$1,743.62	$2,706.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,679.11 / $41,554.00	Facility		$597.00	$1,679.11	$41,554.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,329.06 / $2,132.67 / $5,088.93	Professional		$1,329.06	$2,132.67	$5,088.93
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 $1,234.23 / $1,761.66 / $4,311.24	Professional		$1,234.23	$1,761.66	$4,311.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,743.62 / $1,743.62 / $5,182.46	Facility		$1,743.62	$1,743.62	$5,182.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,135.32 / $1,955.54 / $3,706.80	Professional		$1,135.32	$1,955.54	$3,706.80