Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,611.61 / $5,224.00 / $11,996.00	Facility		$1,611.61	$5,224.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,143.49 / $1,611.61 / $2,558.86	Professional		$1,143.49	$1,611.61	$2,558.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,720.00 / $16,411.00	Facility		$4,989.00	$9,720.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,039.08 / $1,358.29 / $3,259.27	Professional		$1,039.08	$1,358.29	$3,259.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,866.81 / $1,866.81 / $12,319.50	Facility		$1,866.81	$1,866.81	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,866.81 / $1,866.81 / $1,866.81	Professional		$1,866.81	$1,866.81	$1,866.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,501.36 / $1,501.36 / $7,227.90	Facility		$1,501.36	$1,501.36	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,260.11 / $2,226.06 / $4,746.10	Professional		$1,260.11	$2,226.06	$4,746.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,229.89 / $3,728.00	Facility		$319.00	$2,229.89	$3,728.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,514.12 / $1,766.85 / $2,644.19	Professional		$1,514.12	$1,766.85	$2,644.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,067.92 / $1,498.89 / $2,399.67	Professional		$1,067.92	$1,498.89	$2,399.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,501.36 / $7,227.90	Facility		$555.00	$1,501.36	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,353.64 / $2,226.06 / $4,746.10	Professional		$1,353.64	$2,226.06	$4,746.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,221.61 / $1,826.88 / $3,843.26	Professional		$1,221.61	$1,826.88	$3,843.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,498.89 / $1,498.89 / $4,505.80	Facility		$1,498.89	$1,498.89	$4,505.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,175.30 / $1,584.08 / $2,770.36	Professional		$1,175.30	$1,584.08	$2,770.36