Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,545.76 / $3,100.00 / $10,170.00	Facility		$1,545.76	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.52 / $1,539.55 / $2,641.37	Professional		$1,153.52	$1,539.55	$2,641.37
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 $1,069.47 / $1,328.10 / $3,002.05	Professional		$1,069.47	$1,328.10	$3,002.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,847.27 / $1,847.27 / $37,499.62	Facility		$1,847.27	$1,847.27	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,847.27 / $1,847.27 / $1,847.27	Professional		$1,847.27	$1,847.27	$1,847.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,489.16 / $1,489.16 / $7,227.90	Facility		$1,489.16	$1,489.16	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.68 / $1,970.23 / $4,832.12	Professional		$1,052.68	$1,970.23	$4,832.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,367.10 / $3,516.62	Facility		$332.00	$1,367.10	$3,516.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,406.65 / $1,804.36 / $2,703.89	Professional		$1,406.65	$1,804.36	$2,703.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.58 / $1,206.58 / $1,206.58	Facility		$1,206.58	$1,206.58	$1,206.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,015.52 / $1,543.45 / $2,395.42	Professional		$1,015.52	$1,543.45	$2,395.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,489.16 / $7,227.90	Facility		$597.00	$1,489.16	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,187.84 / $1,908.75 / $4,502.82	Professional		$1,187.84	$1,908.75	$4,502.82
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 $1,102.67 / $1,557.79 / $3,580.63	Professional		$1,102.67	$1,557.79	$3,580.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,543.45 / $1,543.45 / $4,717.07	Facility		$1,543.45	$1,543.45	$4,717.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,015.52 / $1,731.04 / $3,281.24	Professional		$1,015.52	$1,731.04	$3,281.24