Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,510.61 / $4,392.00 / $11,396.00	Facility		$1,510.61	$4,392.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,087.45 / $1,345.82 / $3,061.65	Professional		$1,087.45	$1,345.82	$3,061.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,359.00 / $12,869.00	Facility		$4,079.00	$7,359.00	$12,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,043.58 / $1,364.17 / $2,837.70	Professional		$1,043.58	$1,364.17	$2,837.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,785.27 / $1,785.27 / $37,499.62	Facility		$1,785.27	$1,785.27	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,785.27 / $1,785.27 / $1,785.27	Professional		$1,785.27	$1,785.27	$1,785.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,392.82 / $1,392.82 / $1,392.82	Facility		$1,392.82	$1,392.82	$1,392.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,110.54 / $1,897.68 / $5,205.16	Professional		$1,110.54	$1,897.68	$5,205.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,079.23 / $3,457.60	Facility		$332.00	$2,079.23	$3,457.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,345.15 / $1,897.48 / $2,798.92	Professional		$1,345.15	$1,897.48	$2,798.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,155.13 / $1,155.13 / $1,155.13	Facility		$1,155.13	$1,155.13	$1,155.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,005.88 / $1,436.63 / $2,609.41	Professional		$1,005.88	$1,436.63	$2,609.41
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 $1,245.00 / $1,899.47 / $4,819.26	Professional		$1,245.00	$1,899.47	$4,819.26
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 $1,090.35 / $1,684.19 / $3,809.70	Professional		$1,090.35	$1,684.19	$3,809.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,436.63 / $1,436.63 / $5,443.23	Facility		$1,436.63	$1,436.63	$5,443.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,014.84 / $1,583.91 / $3,126.87	Professional		$1,014.84	$1,583.91	$3,126.87