Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $4,392.00 / $11,396.00	Facility		$1,516.00	$4,392.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,151.65 / $1,412.07 / $2,720.25	Professional		$1,151.65	$1,412.07	$2,720.25
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 $1,541.29 / $1,865.69 / $3,166.54	Professional		$1,541.29	$1,865.69	$3,166.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,752.66 / $1,752.66 / $37,499.62	Facility		$1,752.66	$1,752.66	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,752.66 / $1,752.66 / $1,752.66	Professional		$1,752.66	$1,752.66	$1,752.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,407.20 / $1,407.20 / $1,407.20	Facility		$1,407.20	$1,407.20	$1,407.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,195.31 / $1,970.08 / $5,758.59	Professional		$1,195.31	$1,970.08	$5,758.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,495.75 / $15,064.00	Facility		$332.00	$2,495.75	$15,064.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,350.95 / $1,916.80 / $2,833.41	Professional		$1,350.95	$1,916.80	$2,833.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,160.10 / $1,160.10 / $1,160.10	Facility		$1,160.10	$1,160.10	$1,160.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,006.48 / $1,437.49 / $2,610.96	Professional		$1,006.48	$1,437.49	$2,610.96
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 $1,262.25 / $1,922.71 / $5,250.08	Professional		$1,262.25	$1,922.71	$5,250.08
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 $1,109.57 / $1,726.00 / $4,042.36	Professional		$1,109.57	$1,726.00	$4,042.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,437.49 / $1,437.49 / $5,391.94	Facility		$1,437.49	$1,437.49	$5,391.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,034.11 / $1,590.74 / $3,128.73	Professional		$1,034.11	$1,590.74	$3,128.73