Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,525.00 / $10,321.00	Facility		$1,819.00	$4,525.00	$10,321.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,397.30 / $1,625.37 / $2,970.73	Professional		$1,397.30	$1,625.37	$2,970.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,592.00 / $18,161.00	Facility		$4,079.00	$7,592.00	$18,161.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,309.98 / $1,712.40 / $3,652.78	Professional		$1,309.98	$1,712.40	$3,652.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,204.67 / $2,204.67 / $37,499.62	Facility		$2,204.67	$2,204.67	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,204.67 / $2,204.67 / $6,614.04	Professional		$2,204.67	$2,204.67	$6,614.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,738.56 / $1,738.56 / $1,738.56	Facility		$1,738.56	$1,738.56	$1,738.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,466.51 / $2,362.63 / $5,441.35	Professional		$1,466.51	$2,362.63	$5,441.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,814.00 / $3,955.12	Facility		$332.00	$1,814.00	$3,955.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,689.77 / $2,316.07 / $3,392.61	Professional		$1,689.77	$2,316.07	$3,392.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,451.07 / $1,451.07 / $1,451.07	Facility		$1,451.07	$1,451.07	$1,451.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,259.23 / $1,851.81 / $3,266.64	Professional		$1,259.23	$1,851.81	$3,266.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,738.56	Facility		$555.00	$597.00	$1,738.56
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,572.03 / $2,322.17 / $5,432.97	Professional		$1,572.03	$2,322.17	$5,432.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,390.86 / $1,953.74 / $4,832.21	Professional		$1,390.86	$1,953.74	$4,832.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,851.81 / $1,851.81 / $6,451.62	Facility		$1,851.81	$1,851.81	$6,451.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,298.33 / $2,022.21 / $3,914.43	Professional		$1,298.33	$2,022.21	$3,914.43