Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,723.30 / $4,648.00 / $10,686.00	Facility		$1,723.30	$4,648.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,316.19 / $1,622.78 / $3,126.24	Professional		$1,316.19	$1,622.78	$3,126.24
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 $1,062.14 / $1,388.42 / $3,567.48	Professional		$1,062.14	$1,388.42	$3,567.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,990.00 / $2,014.06 / $8,917.50	Facility		$1,990.00	$2,014.06	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,014.06 / $2,014.06 / $2,014.06	Professional		$2,014.06	$2,014.06	$2,014.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,616.23 / $1,616.23 / $1,616.23	Facility		$1,616.23	$1,616.23	$1,616.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,375.92 / $2,185.44 / $6,040.39	Professional		$1,375.92	$2,185.44	$6,040.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,875.00 / $3,789.99	Facility		$332.00	$1,875.00	$3,789.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,549.64 / $2,199.03 / $3,250.97	Professional		$1,549.64	$2,199.03	$3,250.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,330.74 / $1,330.74 / $1,330.74	Facility		$1,330.74	$1,330.74	$1,330.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,154.93 / $1,649.51 / $2,996.07	Professional		$1,154.93	$1,649.51	$2,996.07
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 $1,450.66 / $2,244.13 / $5,771.99	Professional		$1,450.66	$2,244.13	$5,771.99
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 $1,275.19 / $1,993.58 / $4,523.76	Professional		$1,275.19	$1,993.58	$4,523.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,649.51 / $1,649.51 / $6,093.75	Facility		$1,649.51	$1,649.51	$6,093.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,176.90 / $1,824.71 / $3,590.21	Professional		$1,176.90	$1,824.71	$3,590.21