Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,680.66 / $4,574.00 / $10,686.00	Facility		$1,680.66	$4,574.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,265.36 / $1,556.93 / $3,510.41	Professional		$1,265.36	$1,556.93	$3,510.41
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 $1,019.62 / $1,332.84 / $3,261.40	Professional		$1,019.62	$1,332.84	$3,261.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,933.93 / $1,990.00 / $8,917.50	Facility		$1,933.93	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,933.93 / $1,933.93 / $1,933.93	Professional		$1,933.93	$1,933.93	$1,933.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,551.17 / $1,551.17 / $1,551.17	Facility		$1,551.17	$1,551.17	$1,551.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,295.14 / $2,185.48 / $5,789.02	Professional		$1,295.14	$2,185.48	$5,789.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,875.00 / $3,640.03	Facility		$332.00	$1,875.00	$3,640.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,488.26 / $2,112.05 / $3,122.33	Professional		$1,488.26	$2,112.05	$3,122.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,278.02 / $1,278.02 / $1,278.02	Facility		$1,278.02	$1,278.02	$1,278.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,134.28 / $1,583.74 / $2,876.60	Professional		$1,134.28	$1,583.74	$2,876.60
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 $1,391.51 / $2,183.80 / $5,511.39	Professional		$1,391.51	$2,183.80	$5,511.39
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 $1,223.20 / $1,834.80 / $4,338.87	Professional		$1,223.20	$1,834.80	$4,338.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,583.74 / $1,583.74 / $5,998.47	Facility		$1,583.74	$1,583.74	$5,998.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,144.68 / $1,752.42 / $3,447.04	Professional		$1,144.68	$1,752.42	$3,447.04