Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,441.00 / $10,024.00	Facility		$1,819.00	$4,441.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.46 / $2,013.97 / $3,330.96	Professional		$1,659.46	$2,013.97	$3,330.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,682.50 / $2,136.87 / $4,727.42	Professional		$1,682.50	$2,136.87	$4,727.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,922.55 / $3,417.00 / $13,944.00	Facility		$2,922.55	$3,417.00	$13,944.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,922.55 / $2,922.55 / $2,922.55	Professional		$2,922.55	$2,922.55	$2,922.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,979.68 / $1,979.68 / $1,979.68	Facility		$1,979.68	$1,979.68	$1,979.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,701.44 / $2,894.76 / $7,090.65	Professional		$1,701.44	$2,894.76	$7,090.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,731.00 / $4,434.71	Facility		$332.00	$1,731.00	$4,434.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,997.72 / $2,617.37 / $3,803.99	Professional		$1,997.72	$2,617.37	$3,803.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,557.96 / $1,557.96 / $1,557.96	Facility		$1,557.96	$1,557.96	$1,557.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,557.96 / $2,336.94 / $3,698.29	Professional		$1,557.96	$2,336.94	$3,698.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $597.00 / $1,979.68	Facility		$597.00	$597.00	$1,979.68
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,641.91 / $2,806.36 / $6,864.70	Professional		$1,641.91	$2,806.36	$6,864.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,688.01 / $2,482.36 / $6,362.09	Professional		$1,688.01	$2,482.36	$6,362.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $2,096.51 / $2,096.51	Facility		$0.65	$2,096.51	$2,096.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,557.96 / $2,337.25 / $4,431.68	Professional		$1,557.96	$2,337.25	$4,431.68