Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,202.00 / $11,996.00	Facility		$1,819.00	$5,202.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,486.68 / $1,833.63 / $3,873.34	Professional		$1,486.68	$1,833.63	$3,873.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,168.00	Facility		$3,283.00	$5,434.00	$12,168.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,451.33 / $1,820.50 / $4,158.07	Professional		$1,451.33	$1,820.50	$4,158.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,494.28 / $2,494.28 / $37,499.62	Facility		$2,494.28	$2,494.28	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,494.28 / $2,494.28 / $2,494.28	Professional		$2,494.28	$2,494.28	$2,494.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,999.50 / $1,999.50 / $1,999.50	Facility		$1,999.50	$1,999.50	$1,999.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,356.23 / $2,523.96 / $6,478.99	Professional		$1,356.23	$2,523.96	$6,478.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,889.16 / $4,690.35	Facility		$332.00	$1,889.16	$4,690.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,889.16 / $2,721.40 / $4,023.28	Professional		$1,889.16	$2,721.40	$4,023.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,646.77 / $1,646.77 / $1,646.77	Facility		$1,646.77	$1,646.77	$1,646.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $771.30 / $2,101.01 / $3,706.23	Professional		$771.30	$2,101.01	$3,706.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,999.50	Facility		$555.00	$597.00	$1,999.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,384.66 / $2,480.15 / $6,016.52	Professional		$1,384.66	$2,480.15	$6,016.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,480.83 / $2,202.35 / $5,465.83	Professional		$1,480.83	$2,202.35	$5,465.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,101.01 / $2,101.01 / $4,870.79	Facility		$2,101.01	$2,101.01	$4,870.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,428.69 / $2,294.94 / $4,441.20	Professional		$1,428.69	$2,294.94	$4,441.20