Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,208.61 / $5,157.00 / $11,396.00	Facility		$2,208.61	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,886.35 / $2,171.64 / $4,051.04	Professional		$1,886.35	$2,171.64	$4,051.04
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 $1,730.43 / $2,262.00 / $5,206.14	Professional		$1,730.43	$2,262.00	$5,206.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,938.11 / $2,938.11 / $37,499.62	Facility		$2,938.11	$2,938.11	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,938.11 / $2,938.11 / $2,938.11	Professional		$2,938.11	$2,938.11	$2,938.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,355.71 / $2,355.71 / $2,355.71	Facility		$2,355.71	$2,355.71	$2,355.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,083.01 / $3,268.63 / $7,866.32	Professional		$2,083.01	$3,268.63	$7,866.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,220.26 / $5,513.83	Facility		$332.00	$2,220.26	$5,513.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,254.82 / $3,198.99 / $4,729.64	Professional		$2,254.82	$3,198.99	$4,729.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,936.30 / $1,936.30 / $1,936.30	Facility		$1,936.30	$1,936.30	$1,936.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,680.68 / $2,471.59 / $4,359.95	Professional		$1,680.68	$2,471.59	$4,359.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $2,355.71	Facility		$555.00	$597.00	$2,355.71
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,062.85 / $3,191.33 / $7,362.10	Professional		$2,062.85	$3,191.33	$7,362.10
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 $1,895.70 / $2,739.66 / $6,868.44	Professional		$1,895.70	$2,739.66	$6,868.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,471.59 / $2,471.59 / $10,517.26	Facility		$2,471.59	$2,471.59	$10,517.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,936.30 / $2,698.43 / $5,224.55	Professional		$1,936.30	$2,698.43	$5,224.55