Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,157.00 / $11,396.00	Facility		$1,819.00	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,309.26 / $1,621.54 / $2,945.43	Professional		$1,309.26	$1,621.54	$2,945.43
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 $1,229.71 / $1,607.47 / $3,614.12	Professional		$1,229.71	$1,607.47	$3,614.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,186.67 / $2,644.00 / $12,319.50	Facility		$2,186.67	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,186.67 / $2,186.67 / $2,186.67	Professional		$2,186.67	$2,186.67	$2,186.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,736.96 / $1,736.96 / $1,736.96	Facility		$1,736.96	$1,736.96	$1,736.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,494.58 / $2,178.11 / $5,794.12	Professional		$1,494.58	$2,178.11	$5,794.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,873.00 / $4,093.22	Facility		$332.00	$1,873.00	$4,093.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,818.71 / $2,414.82 / $3,511.08	Professional		$1,818.71	$2,414.82	$3,511.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,437.39 / $1,437.39 / $1,437.39	Facility		$1,437.39	$1,437.39	$1,437.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,149.91 / $1,568.07 / $3,254.25	Professional		$1,149.91	$1,568.07	$3,254.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,736.96	Facility		$555.00	$597.00	$1,736.96
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,542.22 / $2,216.00 / $5,294.17	Professional		$1,542.22	$2,216.00	$5,294.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,345.37 / $1,913.65 / $4,940.38	Professional		$1,345.37	$1,913.65	$4,940.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,844.79 / $1,844.79 / $6,008.45	Facility		$1,844.79	$1,844.79	$6,008.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,254.45 / $2,003.14 / $3,899.58	Professional		$1,254.45	$2,003.14	$3,899.58