Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.00 / $4,910.00 / $11,396.00	Facility		$1,548.00	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,262.95 / $1,573.03 / $3,194.79	Professional		$1,262.95	$1,573.03	$3,194.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,279.00 / $11,909.00	Facility		$3,283.00	$5,279.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,172.73 / $1,532.99 / $3,470.55	Professional		$1,172.73	$1,532.99	$3,470.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,990.21 / $1,990.21 / $37,499.62	Facility		$1,990.21	$1,990.21	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,990.21 / $1,990.21 / $1,990.21	Professional		$1,990.21	$1,990.21	$1,990.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,644.17 / $1,644.17 / $1,644.17	Facility		$1,644.17	$1,644.17	$1,644.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,368.97 / $2,199.81 / $6,567.40	Professional		$1,368.97	$2,199.81	$6,567.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,705.00 / $4,077.38	Facility		$332.00	$1,705.00	$4,077.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,583.27 / $2,274.96 / $3,497.49	Professional		$1,583.27	$2,274.96	$3,497.49
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,330.52 / $1,330.52 / $1,330.52	Facility		$1,330.52	$1,330.52	$1,330.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,101.77 / $1,652.04 / $3,000.65	Professional		$1,101.77	$1,652.04	$3,000.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $49,110.00	Facility		$555.00	$597.00	$49,110.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,428.60 / $2,190.52 / $6,186.37	Professional		$1,428.60	$2,190.52	$6,186.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,603.00	Facility		$1,749.00	$4,194.00	$9,603.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,238.20 / $1,979.09 / $4,622.39	Professional		$1,238.20	$1,979.09	$4,622.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,652.04 / $1,652.04 / $5,848.76	Facility		$1,652.04	$1,652.04	$5,848.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,156.70 / $1,824.41 / $3,595.70	Professional		$1,156.70	$1,824.41	$3,595.70