Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,528.86 / $3,996.00 / $10,296.00	Facility		$1,528.86	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,124.44 / $1,698.85 / $2,554.79	Professional		$1,124.44	$1,698.85	$2,554.79
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 $1,065.25 / $1,392.49 / $3,181.50	Professional		$1,065.25	$1,392.49	$3,181.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,821.40 / $1,821.40 / $37,499.62	Facility		$1,821.40	$1,821.40	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,821.40 / $1,821.40 / $1,821.40	Professional		$1,821.40	$1,821.40	$1,821.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.08 / $1,479.08 / $7,227.90	Facility		$1,479.08	$1,479.08	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,241.05 / $2,174.80 / $4,635.03	Professional		$1,241.05	$2,174.80	$4,635.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,900.00 / $3,401.35	Facility		$319.00	$1,900.00	$3,401.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,511.71 / $1,759.91 / $2,633.79	Professional		$1,511.71	$1,759.91	$2,633.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,052.39 / $1,488.28 / $2,382.69	Professional		$1,052.39	$1,488.28	$2,382.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,479.08 / $7,227.90	Facility		$555.00	$1,479.08	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,338.08 / $2,332.04 / $4,635.03	Professional		$1,338.08	$2,332.04	$4,635.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,719.00 / $17,688.00	Facility		$2,705.00	$7,719.00	$17,688.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,276.51 / $1,806.28 / $3,352.81	Professional		$1,276.51	$1,806.28	$3,352.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,488.28 / $1,488.28 / $3,776.02	Facility		$1,488.28	$1,488.28	$3,776.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,052.39 / $1,577.85 / $2,750.74	Professional		$1,052.39	$1,577.85	$2,750.74