Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,466.01 / $4,392.00 / $10,296.00	Facility		$1,466.01	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,250.95 / $1,501.99 / $2,730.43	Professional		$1,250.95	$1,501.99	$2,730.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,268.00 / $12,869.00	Facility		$4,100.00	$7,268.00	$12,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $988.72 / $1,292.45 / $3,003.21	Professional		$988.72	$1,292.45	$3,003.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,748.64 / $1,748.64 / $37,499.62	Facility		$1,748.64	$1,748.64	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,748.64 / $1,748.64 / $1,748.64	Professional		$1,748.64	$1,748.64	$1,748.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,423.68 / $1,423.68 / $7,227.90	Facility		$1,423.68	$1,423.68	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,033.96 / $2,194.32 / $4,589.85	Professional		$1,033.96	$2,194.32	$4,589.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,000.00 / $3,303.81	Facility		$319.00	$2,000.00	$3,303.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,456.43 / $1,671.26 / $2,540.26	Professional		$1,456.43	$1,671.26	$2,540.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,008.36 / $1,325.29 / $2,289.56	Professional		$1,008.36	$1,325.29	$2,289.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,423.68 / $7,227.90	Facility		$555.00	$1,423.68	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,122.68 / $2,176.81 / $4,589.85	Professional		$1,122.68	$2,176.81	$4,589.85
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 $1,188.00 / $1,634.05 / $3,858.23	Professional		$1,188.00	$1,634.05	$3,858.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,325.29 / $1,325.29 / $3,926.32	Facility		$1,325.29	$1,325.29	$3,926.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,078.45 / $1,450.80 / $2,615.83	Professional		$1,078.45	$1,450.80	$2,615.83