Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,491.00 / $3,996.00 / $10,170.00	Facility		$1,491.00	$3,996.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,084.74 / $1,331.22 / $2,574.29	Professional		$1,084.74	$1,331.22	$2,574.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,264.00 / $12,538.00	Facility		$4,046.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $958.33 / $1,252.73 / $2,760.66	Professional		$958.33	$1,252.73	$2,760.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,658.23 / $1,716.00 / $6,213.00	Facility		$1,658.23	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,658.23 / $1,658.23 / $1,658.23	Professional		$1,658.23	$1,658.23	$1,658.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,330.88 / $1,330.88 / $1,330.88	Facility		$1,330.88	$1,330.88	$1,330.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,120.86 / $1,848.54 / $4,971.03	Professional		$1,120.86	$1,848.54	$4,971.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,258.26 / $3,122.93	Facility		$332.00	$1,258.26	$3,122.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,276.96 / $1,812.13 / $2,678.78	Professional		$1,276.96	$1,812.13	$2,678.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.58 / $1,096.58 / $1,096.58	Facility		$1,096.58	$1,096.58	$1,096.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $967.51 / $1,155.71 / $2,469.60	Professional		$967.51	$1,155.71	$2,469.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $36,596.00	Facility		$555.00	$597.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,192.27 / $1,843.08 / $4,890.37	Professional		$1,192.27	$1,843.08	$4,890.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $14,064.00	Facility		$2,264.00	$5,248.00	$14,064.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,048.05 / $1,638.02 / $3,494.33	Professional		$1,048.05	$1,638.02	$3,494.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,359.66 / $1,359.66 / $5,335.64	Facility		$1,359.66	$1,359.66	$5,335.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,015.80 / $1,503.64 / $2,959.33	Professional		$1,015.80	$1,503.64	$2,959.33