Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,324.00 / $12,466.00	Facility		$1,819.00	$5,324.00	$12,466.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,447.46 / $1,673.10 / $3,046.49	Professional		$1,447.46	$1,673.10	$3,046.49
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 $1,352.68 / $1,768.22 / $3,936.43	Professional		$1,352.68	$1,768.22	$3,936.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,292.94 / $3,478.50 / $13,477.50	Facility		$2,292.94	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,292.94 / $2,292.94 / $2,292.94	Professional		$2,292.94	$2,292.94	$2,292.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,794.83 / $1,794.83 / $1,794.83	Facility		$1,794.83	$1,794.83	$1,794.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,561.06 / $2,411.82 / $5,896.43	Professional		$1,561.06	$2,411.82	$5,896.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,705.93 / $4,206.26	Facility		$332.00	$1,705.93	$4,206.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,733.62 / $2,446.36 / $3,608.04	Professional		$1,733.62	$2,446.36	$3,608.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,488.72 / $1,488.72 / $1,488.72	Facility		$1,488.72	$1,488.72	$1,488.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,327.23 / $1,902.04 / $3,355.25	Professional		$1,327.23	$1,902.04	$3,355.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,794.83	Facility		$555.00	$597.00	$1,794.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,644.06 / $2,410.42 / $5,537.80	Professional		$1,644.06	$2,410.42	$5,537.80
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 $1,401.47 / $2,032.51 / $4,840.54	Professional		$1,401.47	$2,032.51	$4,840.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,902.04 / $1,902.04 / $7,120.55	Facility		$1,902.04	$1,902.04	$7,120.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,327.23 / $2,074.67 / $4,020.61	Professional		$1,327.23	$2,074.67	$4,020.61