Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,583.66 / $3,100.00 / $10,170.00	Facility		$1,583.66	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,192.53 / $1,583.66 / $2,722.52	Professional		$1,192.53	$1,583.66	$2,722.52
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 $1,097.89 / $1,356.90 / $3,081.25	Professional		$1,097.89	$1,356.90	$3,081.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,901.54 / $1,901.54 / $37,499.62	Facility		$1,901.54	$1,901.54	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,901.54 / $1,901.54 / $1,901.54	Professional		$1,901.54	$1,901.54	$1,901.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,533.78 / $1,533.78 / $7,227.90	Facility		$1,533.78	$1,533.78	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,109.33 / $2,005.11 / $4,982.45	Professional		$1,109.33	$2,005.11	$4,982.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,262.00 / $3,624.66	Facility		$332.00	$1,262.00	$3,624.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,449.86 / $1,860.29 / $2,786.96	Professional		$1,449.86	$1,860.29	$2,786.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,244.77 / $1,244.77 / $1,244.77	Facility		$1,244.77	$1,244.77	$1,244.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,024.00 / $1,592.00 / $2,470.78	Professional		$1,024.00	$1,592.00	$2,470.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,533.78 / $7,227.90	Facility		$597.00	$1,533.78	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,247.95 / $1,940.65 / $4,644.72	Professional		$1,247.95	$1,940.65	$4,644.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,422.00 / $4,114.00 / $7,446.00	Facility		$1,422.00	$4,114.00	$7,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,134.08 / $1,587.60 / $4,065.69	Professional		$1,134.08	$1,587.60	$4,065.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,592.00 / $1,592.00 / $4,420.77	Facility		$1,592.00	$1,592.00	$4,420.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,024.00 / $1,785.49 / $3,384.46	Professional		$1,024.00	$1,785.49	$3,384.46