Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,568.20 / $4,792.00 / $11,396.00	Facility		$1,568.20	$4,792.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.82 / $1,723.82 / $2,553.86	Professional		$1,348.82	$1,723.82	$2,553.86
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 $1,088.32 / $1,422.65 / $3,236.46	Professional		$1,088.32	$1,422.65	$3,236.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,882.03 / $1,882.03 / $37,499.62	Facility		$1,882.03	$1,882.03	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,882.03 / $1,882.03 / $1,882.03	Professional		$1,882.03	$1,882.03	$1,882.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,514.36 / $1,514.36 / $7,227.90	Facility		$1,514.36	$1,514.36	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,154.46 / $2,301.81 / $5,195.54	Professional		$1,154.46	$2,301.81	$5,195.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,470.00 / $3,400.11	Facility		$319.00	$1,470.00	$3,400.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,511.16 / $1,805.74 / $2,702.39	Professional		$1,511.16	$1,805.74	$2,702.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,082.08 / $1,603.49 / $2,425.14	Professional		$1,082.08	$1,603.49	$2,425.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,514.36 / $23,612.00	Facility		$597.00	$1,514.36	$23,612.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,371.26 / $2,251.63 / $5,196.79	Professional		$1,371.26	$2,251.63	$5,196.79
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 $1,058.32 / $1,625.32 / $3,713.23	Professional		$1,058.32	$1,625.32	$3,713.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,769.52 / $1,769.52 / $4,432.05	Facility		$1,769.52	$1,769.52	$4,432.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,097.23 / $1,769.52 / $2,807.09	Professional		$1,097.23	$1,769.52	$2,807.09