Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,629.00 / $10,674.00	Facility		$1,819.00	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,536.09 / $1,719.60 / $3,140.21	Professional		$1,536.09	$1,719.60	$3,140.21
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 $1,353.82 / $1,769.71 / $3,822.63	Professional		$1,353.82	$1,769.71	$3,822.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,324.34 / $2,324.34 / $10,957.50	Facility		$2,324.34	$2,324.34	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,324.34 / $2,324.34 / $2,324.34	Professional		$2,324.34	$2,324.34	$2,324.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,858.64 / $1,858.64 / $1,858.64	Facility		$1,858.64	$1,858.64	$1,858.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,620.49 / $2,562.90 / $5,934.20	Professional		$1,620.49	$2,562.90	$5,934.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,277.00 / $4,238.87	Facility		$332.00	$2,277.00	$4,238.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,904.00 / $2,550.85 / $3,636.00	Professional		$1,904.00	$2,550.85	$3,636.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,528.09 / $1,528.09 / $1,528.09	Facility		$1,528.09	$1,528.09	$1,528.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,222.47 / $1,671.19 / $3,468.26	Professional		$1,222.47	$1,671.19	$3,468.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,858.64	Facility		$555.00	$597.00	$1,858.64
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,699.42 / $2,481.35 / $5,790.68	Professional		$1,699.42	$2,481.35	$5,790.68
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 $1,470.99 / $2,132.29 / $5,557.83	Professional		$1,470.99	$2,132.29	$5,557.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,966.10 / $1,966.10 / $7,891.42	Facility		$1,966.10	$1,966.10	$7,891.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,222.47 / $2,044.75 / $4,156.03	Professional		$1,222.47	$2,044.75	$4,156.03