Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,476.68 / $3,100.00 / $10,170.00	Facility		$1,476.68	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,138.20 / $1,505.44 / $2,620.56	Professional		$1,138.20	$1,505.44	$2,620.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,038.52 / $1,289.67 / $2,928.98	Professional		$1,038.52	$1,289.67	$2,928.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,803.60 / $1,803.60 / $37,499.62	Facility		$1,803.60	$1,803.60	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,803.60 / $1,803.60 / $1,803.60	Professional		$1,803.60	$1,803.60	$1,803.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,464.18 / $1,464.18 / $7,227.90	Facility		$1,464.18	$1,464.18	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,068.56 / $1,897.26 / $4,779.39	Professional		$1,068.56	$1,897.26	$4,779.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,146.00 / $3,488.92	Facility		$332.00	$1,146.00	$3,488.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,395.57 / $1,792.16 / $2,682.59	Professional		$1,395.57	$1,792.16	$2,682.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,200.61 / $1,200.61 / $1,200.61	Facility		$1,200.61	$1,200.61	$1,200.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $945.62 / $1,530.65 / $2,375.57	Professional		$945.62	$1,530.65	$2,375.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,464.18 / $7,227.90	Facility		$597.00	$1,464.18	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,182.56 / $1,832.51 / $4,341.72	Professional		$1,182.56	$1,832.51	$4,341.72
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 $1,072.52 / $1,500.78 / $3,240.58	Professional		$1,072.52	$1,500.78	$3,240.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,530.65 / $1,530.65 / $3,999.56	Facility		$1,530.65	$1,530.65	$3,999.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $945.62 / $1,716.68 / $3,254.03	Professional		$945.62	$1,716.68	$3,254.03