Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,817.98 / $3,841.00 / $9,038.00	Facility		$1,817.98	$3,841.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.40 / $1,743.23 / $3,157.97	Professional		$1,479.40	$1,743.23	$3,157.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,337.60 / $1,748.50 / $3,905.29	Professional		$1,337.60	$1,748.50	$3,905.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,716.00 / $2,361.05 / $6,213.00	Facility		$1,716.00	$2,361.05	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,361.05 / $2,361.05 / $2,361.05	Professional		$2,361.05	$2,361.05	$2,361.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,857.88 / $1,857.88 / $1,857.88	Facility		$1,857.88	$1,857.88	$1,857.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,641.62 / $2,447.14 / $6,257.28	Professional		$1,641.62	$2,447.14	$6,257.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,285.00 / $4,364.51	Facility		$332.00	$2,285.00	$4,364.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,785.77 / $2,534.40 / $3,743.78	Professional		$1,785.77	$2,534.40	$3,743.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,533.51 / $1,533.51 / $1,533.51	Facility		$1,533.51	$1,533.51	$1,533.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,317.72 / $1,972.51 / $3,479.56	Professional		$1,317.72	$1,972.51	$3,479.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,857.88	Facility		$555.00	$597.00	$1,857.88
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,698.32 / $2,453.63 / $5,738.61	Professional		$1,698.32	$2,453.63	$5,738.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,461.54 / $2,050.14 / $5,287.80	Professional		$1,461.54	$2,050.14	$5,287.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,972.51 / $1,972.51 / $7,275.31	Facility		$1,972.51	$1,972.51	$7,275.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,341.31 / $2,137.10 / $4,169.57	Professional		$1,341.31	$2,137.10	$4,169.57