Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,360.77 / $4,629.00 / $10,965.00	Facility		$1,360.77	$4,629.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,015.38 / $1,246.84 / $2,806.66	Professional		$1,015.38	$1,246.84	$2,806.66
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 $882.93 / $1,154.16 / $2,688.52	Professional		$882.93	$1,154.16	$2,688.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,541.51 / $2,390.00 / $10,957.50	Facility		$1,541.51	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,541.51 / $1,541.51 / $1,541.51	Professional		$1,541.51	$1,541.51	$1,541.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,224.10 / $1,224.10 / $1,224.10	Facility		$1,224.10	$1,224.10	$1,224.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,044.58 / $1,736.94 / $4,432.37	Professional		$1,044.58	$1,736.94	$4,432.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,143.65 / $2,799.86	Facility		$332.00	$1,143.65	$2,799.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,173.79 / $1,633.26 / $2,401.65	Professional		$1,173.79	$1,633.26	$2,401.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,007.98 / $1,007.98 / $1,007.98	Facility		$1,007.98	$1,007.98	$1,007.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $911.93 / $1,262.47 / $2,293.07	Professional		$911.93	$1,262.47	$2,293.07
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 $1,106.53 / $1,728.53 / $4,432.37	Professional		$1,106.53	$1,728.53	$4,432.37
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 $972.68 / $1,477.81 / $3,547.42	Professional		$972.68	$1,477.81	$3,547.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,262.47 / $1,262.47 / $5,343.44	Facility		$1,262.47	$1,262.47	$5,343.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $988.12 / $1,382.14 / $2,747.80	Professional		$988.12	$1,382.14	$2,747.80