Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,627.59 / $3,621.00 / $10,965.00	Facility		$1,627.59	$3,621.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,219.53 / $1,627.59 / $2,933.09	Professional		$1,219.53	$1,627.59	$2,933.09
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 $1,120.40 / $1,391.35 / $3,158.61	Professional		$1,120.40	$1,391.35	$3,158.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,917.44 / $1,917.44 / $37,499.62	Facility		$1,917.44	$1,917.44	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,917.44 / $1,917.44 / $1,917.44	Professional		$1,917.44	$1,917.44	$1,917.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,568.87 / $1,568.87 / $7,227.90	Facility		$1,568.87	$1,568.87	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,101.00 / $2,045.94 / $5,061.32	Professional		$1,101.00	$2,045.94	$5,061.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,411.05 / $3,709.19	Facility		$332.00	$1,411.05	$3,709.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,483.68 / $1,903.79 / $2,851.96	Professional		$1,483.68	$1,903.79	$2,851.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,273.79 / $1,273.79 / $1,273.79	Facility		$1,273.79	$1,273.79	$1,273.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,062.73 / $1,630.30 / $2,530.21	Professional		$1,062.73	$1,630.30	$2,530.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,568.87 / $41,554.00	Facility		$597.00	$1,568.87	$41,554.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,242.31 / $1,977.89 / $4,719.52	Professional		$1,242.31	$1,977.89	$4,719.52
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 $1,139.10 / $1,634.43 / $3,846.51	Professional		$1,139.10	$1,634.43	$3,846.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,630.30 / $1,630.30 / $4,864.56	Facility		$1,630.30	$1,630.30	$4,864.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,062.73 / $1,828.44 / $3,465.88	Professional		$1,062.73	$1,828.44	$3,465.88