Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,391.56 / $3,100.00 / $10,170.00	Facility		$1,391.56	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,051.98 / $1,391.55 / $2,438.85	Professional		$1,051.98	$1,391.55	$2,438.85
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 $960.02 / $1,192.18 / $2,692.13	Professional		$960.02	$1,192.18	$2,692.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,666.15 / $1,666.15 / $37,499.62	Facility		$1,666.15	$1,666.15	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,666.15 / $1,666.15 / $1,666.15	Professional		$1,666.15	$1,666.15	$1,666.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,343.08 / $1,343.08 / $7,227.90	Facility		$1,343.08	$1,343.08	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $974.28 / $1,751.90 / $4,368.79	Professional		$974.28	$1,751.90	$4,368.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,082.00 / $3,178.82	Facility		$332.00	$1,082.00	$3,178.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,271.53 / $1,631.72 / $2,444.16	Professional		$1,271.53	$1,631.72	$2,444.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,091.96 / $1,091.96 / $1,091.96	Facility		$1,091.96	$1,091.96	$1,091.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $896.36 / $1,396.40 / $2,167.21	Professional		$896.36	$1,396.40	$2,167.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,343.08 / $7,227.90	Facility		$597.00	$1,343.08	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,092.00 / $1,700.20 / $4,079.04	Professional		$1,092.00	$1,700.20	$4,079.04
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 $984.46 / $1,414.88 / $3,554.97	Professional		$984.46	$1,414.88	$3,554.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,396.40 / $1,396.40 / $3,888.19	Facility		$1,396.40	$1,396.40	$3,888.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $896.36 / $1,466.50 / $2,968.63	Professional		$896.36	$1,466.50	$2,968.63