Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,574.19 / $4,682.31 / $10,170.00	Facility		$1,574.19	$4,682.31	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,343.73 / $1,731.67 / $4,918.39	Professional		$1,343.73	$1,731.67	$4,918.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,793.00 / $9,974.00 / $17,122.00	Facility		$4,793.00	$9,974.00	$17,122.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,121.24 / $1,465.68 / $3,573.74	Professional		$1,121.24	$1,465.68	$3,573.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,887.09 / $1,887.09 / $37,499.62	Facility		$1,887.09	$1,887.09	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,887.09 / $1,887.09 / $1,887.09	Professional		$1,887.09	$1,887.09	$1,887.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,559.88 / $1,559.88 / $7,227.90	Facility		$1,559.88	$1,559.88	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,337.29 / $2,351.13 / $7,102.49	Professional		$1,337.29	$2,351.13	$7,102.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,499.73 / $3,866.42	Facility		$319.00	$1,499.73	$3,866.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,649.70 / $1,826.72 / $2,972.85	Professional		$1,649.70	$1,826.72	$2,972.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,073.90 / $1,564.38 / $2,487.04	Professional		$1,073.90	$1,564.38	$2,487.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,559.88 / $7,227.90	Facility		$555.00	$1,559.88	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,390.48 / $2,351.13 / $6,864.44	Professional		$1,390.48	$2,351.13	$6,864.44
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 $1,202.89 / $1,845.57 / $4,334.04	Professional		$1,202.89	$1,845.57	$4,334.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,564.38 / $1,564.38 / $5,554.30	Facility		$1,564.38	$1,564.38	$5,554.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,073.90 / $1,675.17 / $3,208.66	Professional		$1,073.90	$1,675.17	$3,208.66