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 $1,547.35 / $1,804.99 / $3,291.80	Professional		$1,547.35	$1,804.99	$3,291.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,359.00 / $12,869.00	Facility		$4,079.00	$7,359.00	$12,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,428.40 / $1,867.20 / $4,159.70	Professional		$1,428.40	$1,867.20	$4,159.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $37,499.62	Facility		$2,446.00	$2,446.00	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $2,446.00	Professional		$2,446.00	$2,446.00	$2,446.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,952.89 / $1,952.89 / $1,952.89	Facility		$1,952.89	$1,952.89	$1,952.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,709.23 / $2,589.16 / $6,421.44	Professional		$1,709.23	$2,589.16	$6,421.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,725.00 / $4,561.38	Facility		$332.00	$1,725.00	$4,561.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,881.71 / $2,651.66 / $3,912.65	Professional		$1,881.71	$2,651.66	$3,912.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,615.90 / $1,615.90 / $1,615.90	Facility		$1,615.90	$1,615.90	$1,615.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,402.03 / $2,059.81 / $3,633.56	Professional		$1,402.03	$2,059.81	$3,633.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,952.89	Facility		$555.00	$597.00	$1,952.89
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,783.68 / $2,589.96 / $6,065.62	Professional		$1,783.68	$2,589.96	$6,065.62
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 $1,560.88 / $2,167.89 / $5,268.82	Professional		$1,560.88	$2,167.89	$5,268.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,059.81 / $2,059.81 / $7,879.46	Facility		$2,059.81	$2,059.81	$7,879.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,402.03 / $2,142.19 / $4,354.10	Professional		$1,402.03	$2,142.19	$4,354.10