Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,846.04 / $3,996.00 / $10,296.00	Facility		$1,846.04	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,876.52 / $2,149.48 / $3,983.69	Professional		$1,876.52	$2,149.48	$3,983.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,760.00 / $10,017.00 / $17,122.00	Facility		$4,760.00	$10,017.00	$17,122.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,699.68 / $2,221.81 / $5,109.47	Professional		$1,699.68	$2,221.81	$5,109.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,896.18 / $2,896.18 / $37,499.62	Facility		$2,896.18	$2,896.18	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,896.18 / $2,896.18 / $2,896.18	Professional		$2,896.18	$2,896.18	$2,896.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,322.34 / $2,322.34 / $2,322.34	Facility		$2,322.34	$2,322.34	$2,322.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,061.48 / $3,328.12 / $7,752.12	Professional		$2,061.48	$3,328.12	$7,752.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,273.00 / $5,435.66	Facility		$332.00	$3,273.00	$5,435.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,223.29 / $3,153.90 / $4,662.59	Professional		$2,223.29	$3,153.90	$4,662.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,909.22 / $1,909.22 / $1,909.22	Facility		$1,909.22	$1,909.22	$1,909.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,657.95 / $2,095.92 / $4,300.99	Professional		$1,657.95	$2,095.92	$4,300.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $2,322.34	Facility		$555.00	$597.00	$2,322.34
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,150.21 / $3,353.57 / $7,256.13	Professional		$2,150.21	$3,353.57	$7,256.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $6,344.00 / $14,069.00	Facility		$2,705.00	$6,344.00	$14,069.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,906.56 / $2,752.00 / $6,631.51	Professional		$1,906.56	$2,752.00	$6,631.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,438.17 / $2,438.17 / $12,804.95	Facility		$2,438.17	$2,438.17	$12,804.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,910.56 / $2,660.70 / $5,153.89	Professional		$1,910.56	$2,660.70	$5,153.89