Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,326.16 / $3,100.00 / $10,170.00	Facility		$1,326.16	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,024.38 / $1,326.16 / $2,323.53	Professional		$1,024.38	$1,326.16	$2,323.53
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 $938.35 / $1,157.82 / $2,633.54	Professional		$938.35	$1,157.82	$2,633.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,628.30 / $1,628.30 / $37,499.62	Facility		$1,628.30	$1,628.30	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,628.30 / $1,628.30 / $1,628.30	Professional		$1,628.30	$1,628.30	$1,628.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.61 / $1,306.61 / $7,227.90	Facility		$1,306.61	$1,306.61	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $955.70 / $1,711.04 / $4,256.18	Professional		$955.70	$1,711.04	$4,256.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $945.00 / $3,093.46	Facility		$332.00	$945.00	$3,093.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,237.38 / $1,588.27 / $2,378.53	Professional		$1,237.38	$1,588.27	$2,378.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,063.25 / $1,063.25 / $1,063.25	Facility		$1,063.25	$1,063.25	$1,063.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $867.33 / $1,361.14 / $2,112.48	Professional		$867.33	$1,361.14	$2,112.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,306.61 / $7,227.90	Facility		$597.00	$1,306.61	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,088.84 / $1,658.02 / $3,970.68	Professional		$1,088.84	$1,658.02	$3,970.68
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 $969.51 / $1,382.71 / $3,467.95	Professional		$969.51	$1,382.71	$3,467.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,361.14 / $1,361.14 / $3,813.01	Facility		$1,361.14	$1,361.14	$3,813.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $867.33 / $1,526.58 / $2,893.68	Professional		$867.33	$1,526.58	$2,893.68