Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,845.00 / $10,686.00	Facility		$1,819.00	$5,845.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,278.48 / $2,234.35 / $2,632.62	Professional		$1,278.48	$2,234.35	$2,632.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,608.00 / $14,193.00	Facility		$4,568.00	$7,608.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,192.65 / $1,512.24 / $2,578.07	Professional		$1,192.65	$1,512.24	$2,578.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,430.48 / $2,430.48 / $37,499.62	Facility		$2,430.48	$2,430.48	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,430.48 / $2,430.48 / $2,430.48	Professional		$2,430.48	$2,430.48	$2,430.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,227.90 / $13,010.00 / $20,885.00	Facility		$7,227.90	$13,010.00	$20,885.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,679.38 / $8,370.79 / $8,370.79	Professional		$1,679.38	$8,370.79	$8,370.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,755.88 / $4,125.74	Facility		$319.00	$1,755.88	$4,125.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,105.27 / $1,823.42 / $3,172.23	Professional		$1,105.27	$1,823.42	$3,172.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,350.68 / $2,026.02 / $2,620.32	Professional		$1,350.68	$2,026.02	$2,620.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,010.36 / $10,350.00 / $25,163.00	Facility		$2,010.36	$10,350.00	$25,163.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,679.38 / $8,370.79 / $8,370.79	Professional		$1,679.38	$8,370.79	$8,370.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,442.16 / $2,180.84 / $5,130.30	Professional		$1,442.16	$2,180.84	$5,130.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,350.68 / $1,350.68 / $1,983.50	Facility		$1,350.68	$1,350.68	$1,983.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,350.68 / $1,983.50 / $2,833.52	Professional		$1,350.68	$1,983.50	$2,833.52