Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,551.00 / $3,996.00 / $10,296.00	Facility		$1,551.00	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,141.01 / $1,588.68 / $2,723.02	Professional		$1,141.01	$1,588.68	$2,723.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,221.66 / $11,909.00	Facility		$3,283.00	$5,221.66	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,052.02 / $1,375.20 / $3,124.72	Professional		$1,052.02	$1,375.20	$3,124.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,816.59 / $1,816.59 / $37,499.62	Facility		$1,816.59	$1,816.59	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,816.59 / $1,816.59 / $1,816.59	Professional		$1,816.59	$1,816.59	$1,816.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,461.84 / $1,461.84 / $7,227.90	Facility		$1,461.84	$1,461.84	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,114.70 / $2,256.48 / $5,015.45	Professional		$1,114.70	$2,256.48	$5,015.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,347.90 / $3,281.24	Facility		$319.00	$1,347.90	$3,281.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,458.33 / $1,742.97 / $2,608.44	Professional		$1,458.33	$1,742.97	$2,608.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.34 / $1,562.66 / $2,322.89	Professional		$1,000.34	$1,562.66	$2,322.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,461.84 / $7,227.90	Facility		$555.00	$1,461.84	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,333.76 / $2,172.91 / $4,723.39	Professional		$1,333.76	$2,172.91	$4,723.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,127.20 / $1,622.78 / $4,043.06	Professional		$1,127.20	$1,622.78	$4,043.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,659.21 / $1,659.21 / $4,477.39	Facility		$1,659.21	$1,659.21	$4,477.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,000.34 / $1,659.21 / $2,710.08	Professional		$1,000.34	$1,659.21	$2,710.08