Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,373.49 / $4,648.00 / $11,996.00	Facility		$1,373.49	$4,648.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,055.49 / $1,287.50 / $2,922.61	Professional		$1,055.49	$1,287.50	$2,922.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,760.00 / $10,017.00 / $17,122.00	Facility		$4,760.00	$10,017.00	$17,122.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.44 / $1,699.46 / $2,988.13	Professional		$1,412.44	$1,699.46	$2,988.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,596.80 / $1,596.80 / $37,499.62	Facility		$1,596.80	$1,596.80	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,596.80 / $1,596.80 / $1,596.80	Professional		$1,596.80	$1,596.80	$1,596.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,409.80 / $1,409.80 / $1,409.80	Facility		$1,409.80	$1,409.80	$1,409.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,113.58 / $1,788.85 / $5,280.86	Professional		$1,113.58	$1,788.85	$5,280.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,399.06 / $15,064.00	Facility		$332.00	$2,399.06	$15,064.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,330.34 / $1,954.19 / $2,999.72	Professional		$1,330.34	$1,954.19	$2,999.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,142.41 / $1,142.41 / $1,142.41	Facility		$1,142.41	$1,142.41	$1,142.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $913.28 / $1,417.88 / $2,575.35	Professional		$913.28	$1,417.88	$2,575.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $37,776.00	Facility		$555.00	$597.00	$37,776.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,181.40 / $1,774.87 / $4,923.82	Professional		$1,181.40	$1,774.87	$4,923.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $7,719.00 / $19,689.00	Facility		$2,673.00	$7,719.00	$19,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,016.91 / $1,596.28 / $3,635.23	Professional		$1,016.91	$1,596.28	$3,635.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,417.88 / $1,417.88 / $4,537.51	Facility		$1,417.88	$1,417.88	$4,537.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $992.75 / $1,566.47 / $3,086.06	Professional		$992.75	$1,566.47	$3,086.06