Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,570.04 / $5,922.00 / $12,075.00	Facility		$1,570.04	$5,922.00	$12,075.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,078.95 / $1,544.81 / $2,420.55	Professional		$1,078.95	$1,544.81	$2,420.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,574.00 / $7,631.00 / $14,193.00	Facility		$4,574.00	$7,631.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $986.83 / $1,289.98 / $3,079.36	Professional		$986.83	$1,289.98	$3,079.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,761.06 / $1,761.06 / $37,499.62	Facility		$1,761.06	$1,761.06	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,761.06 / $1,761.06 / $1,761.06	Professional		$1,761.06	$1,761.06	$1,761.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,417.31 / $1,417.31 / $7,227.90	Facility		$1,417.31	$1,417.31	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,189.23 / $2,142.65 / $4,475.27	Professional		$1,189.23	$2,142.65	$4,475.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,012.00 / $3,222.63	Facility		$319.00	$2,012.00	$3,222.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,432.28 / $1,670.39 / $2,499.82	Professional		$1,432.28	$1,670.39	$2,499.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,009.87 / $1,203.49 / $2,266.77	Professional		$1,009.87	$1,203.49	$2,266.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,417.31 / $7,227.90	Facility		$555.00	$1,417.31	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,286.48 / $2,141.96 / $4,475.27	Professional		$1,286.48	$2,141.96	$4,475.27
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 $1,245.93 / $1,738.78 / $3,614.44	Professional		$1,245.93	$1,738.78	$3,614.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,415.87 / $1,415.87 / $4,224.60	Facility		$1,415.87	$1,415.87	$4,224.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,108.03 / $1,497.58 / $2,616.91	Professional		$1,108.03	$1,497.58	$2,616.91