Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,321.56 / $3,100.00 / $10,170.00	Facility		$1,321.56	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,010.40 / $1,321.56 / $2,299.63	Professional		$1,010.40	$1,321.56	$2,299.63
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 $923.16 / $1,146.41 / $2,591.44	Professional		$923.16	$1,146.41	$2,591.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,599.14 / $1,599.14 / $37,499.62	Facility		$1,599.14	$1,599.14	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,599.14 / $1,599.14 / $1,599.14	Professional		$1,599.14	$1,599.14	$1,599.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,294.96 / $1,294.96 / $7,227.90	Facility		$1,294.96	$1,294.96	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $947.13 / $1,720.55 / $4,202.56	Professional		$947.13	$1,720.55	$4,202.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,335.00 / $7,533.00	Facility		$332.00	$1,335.00	$7,533.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,224.66 / $1,571.05 / $2,354.06	Professional		$1,224.66	$1,571.05	$2,354.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,050.82 / $1,050.82 / $1,050.82	Facility		$1,050.82	$1,050.82	$1,050.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $897.91 / $1,342.77 / $2,083.98	Professional		$897.91	$1,342.77	$2,083.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,294.96 / $7,227.90	Facility		$597.00	$1,294.96	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,117.44 / $1,671.52 / $3,917.17	Professional		$1,117.44	$1,671.52	$3,917.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,331.00 / $4,194.00 / $9,020.04	Facility		$1,331.00	$4,194.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $967.23 / $1,362.78 / $3,476.27	Professional		$967.23	$1,362.78	$3,476.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,342.77 / $1,342.77 / $4,454.82	Facility		$1,342.77	$1,342.77	$4,454.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $897.91 / $1,505.98 / $2,854.63	Professional		$897.91	$1,505.98	$2,854.63