Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,424.47 / $3,996.00 / $10,296.00	Facility		$1,424.47	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.61 / $1,504.05 / $3,217.76	Professional		$1,016.61	$1,504.05	$3,217.76
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 $951.01 / $1,243.16 / $2,865.20	Professional		$951.01	$1,243.16	$2,865.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,659.12 / $1,659.12 / $37,499.62	Facility		$1,659.12	$1,659.12	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,659.12 / $1,659.12 / $1,659.12	Professional		$1,659.12	$1,659.12	$1,659.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,369.87 / $1,369.87 / $7,227.90	Facility		$1,369.87	$1,369.87	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,137.59 / $1,985.46 / $4,232.03	Professional		$1,137.59	$1,985.46	$4,232.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,053.85 / $3,798.40	Facility		$319.00	$2,053.85	$3,798.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,397.43 / $1,627.36 / $2,435.42	Professional		$1,397.43	$1,627.36	$2,435.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $980.67 / $1,376.43 / $2,203.62	Professional		$980.67	$1,376.43	$2,203.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,369.87 / $7,227.90	Facility		$555.00	$1,369.87	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,211.77 / $2,000.00 / $4,232.03	Professional		$1,211.77	$2,000.00	$4,232.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $11,176.00	Facility		$2,264.00	$5,735.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,141.23 / $1,609.81 / $3,080.97	Professional		$1,141.23	$1,609.81	$3,080.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,376.43 / $1,376.43 / $3,759.20	Facility		$1,376.43	$1,376.43	$3,759.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $987.17 / $1,459.01 / $2,544.01	Professional		$987.17	$1,459.01	$2,544.01