Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,727.89 / $4,574.00 / $10,686.00	Facility		$1,727.89	$4,574.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,281.26 / $1,560.35 / $3,007.43	Professional		$1,281.26	$1,560.35	$3,007.43
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 $1,122.35 / $1,467.15 / $3,516.98	Professional		$1,122.35	$1,467.15	$3,516.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,937.44 / $1,990.00 / $8,917.50	Facility		$1,937.44	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,937.44 / $1,937.44 / $1,937.44	Professional		$1,937.44	$1,937.44	$1,937.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,553.88 / $1,553.88 / $1,553.88	Facility		$1,553.88	$1,553.88	$1,553.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,262.60 / $2,204.00 / $5,803.78	Professional		$1,262.60	$2,204.00	$5,803.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,468.31 / $3,645.11	Facility		$332.00	$1,468.31	$3,645.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,490.47 / $2,115.00 / $3,126.70	Professional		$1,490.47	$2,115.00	$3,126.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,279.92 / $1,279.92 / $1,279.92	Facility		$1,279.92	$1,279.92	$1,279.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,110.54 / $1,348.19 / $2,880.91	Professional		$1,110.54	$1,348.19	$2,880.91
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 $1,394.44 / $2,192.09 / $5,427.10	Professional		$1,394.44	$2,192.09	$5,427.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $15,611.00	Facility		$2,264.00	$5,963.00	$15,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,241.41 / $1,914.85 / $4,332.46	Professional		$1,241.41	$1,914.85	$4,332.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,586.11 / $1,586.11 / $6,205.44	Facility		$1,586.11	$1,586.11	$6,205.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,177.78 / $1,755.03 / $3,452.21	Professional		$1,177.78	$1,755.03	$3,452.21