Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,536.26 / $3,996.00 / $10,296.00	Facility		$1,536.26	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,037.49 / $1,567.69 / $2,440.53	Professional		$1,037.49	$1,567.69	$2,440.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,697.00	Facility		$4,100.00	$7,264.00	$12,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,044.43 / $1,365.27 / $3,095.36	Professional		$1,044.43	$1,365.27	$3,095.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,800.97 / $1,800.97 / $37,499.62	Facility		$1,800.97	$1,800.97	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,800.97 / $1,800.97 / $1,800.97	Professional		$1,800.97	$1,800.97	$1,800.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,448.00 / $1,448.00 / $7,227.90	Facility		$1,448.00	$1,448.00	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,103.99 / $2,216.21 / $4,972.96	Professional		$1,103.99	$2,216.21	$4,972.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,046.00 / $3,273.60	Facility		$319.00	$2,046.00	$3,273.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,444.10 / $1,726.33 / $2,583.54	Professional		$1,444.10	$1,726.33	$2,583.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $995.05 / $1,397.06 / $2,301.04	Professional		$995.05	$1,397.06	$2,301.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,448.00 / $7,227.90	Facility		$555.00	$1,448.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,290.47 / $2,151.71 / $4,612.27	Professional		$1,290.47	$2,151.71	$4,612.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,694.00 / $3,146.00 / $5,254.00	Facility		$1,694.00	$3,146.00	$5,254.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,116.20 / $1,599.78 / $3,995.25	Professional		$1,116.20	$1,599.78	$3,995.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,643.60 / $1,643.60 / $4,433.18	Facility		$1,643.60	$1,643.60	$4,433.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $995.05 / $1,582.69 / $2,684.59	Professional		$995.05	$1,582.69	$2,684.59