Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,837.00 / $5,157.00 / $11,396.00	Facility		$1,837.00	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,726.56 / $2,130.51 / $3,997.08	Professional		$1,726.56	$2,130.51	$3,997.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,228.00	Facility		$3,283.00	$5,434.00	$12,228.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,677.23 / $2,118.85 / $4,824.02	Professional		$1,677.23	$2,118.85	$4,824.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,898.17 / $2,898.17 / $37,499.62	Facility		$2,898.17	$2,898.17	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,898.17 / $2,898.17 / $2,898.17	Professional		$2,898.17	$2,898.17	$2,898.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,322.98 / $2,322.98 / $2,322.98	Facility		$2,322.98	$2,322.98	$2,322.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,575.56 / $2,936.16 / $7,254.84	Professional		$1,575.56	$2,936.16	$7,254.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,116.50 / $5,438.99	Facility		$332.00	$2,116.50	$5,438.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,189.98 / $3,155.48 / $4,665.45	Professional		$2,189.98	$3,155.48	$4,665.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,909.71 / $1,909.71 / $1,909.71	Facility		$1,909.71	$1,909.71	$1,909.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $854.77 / $2,437.48 / $4,299.77	Professional		$854.77	$2,437.48	$4,299.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $2,322.98	Facility		$555.00	$597.00	$2,322.98
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,575.56 / $2,885.65 / $6,970.85	Professional		$1,575.56	$2,885.65	$6,970.85
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 $1,723.06 / $2,563.92 / $6,162.98	Professional		$1,723.06	$2,563.92	$6,162.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,437.48 / $2,437.48 / $5,668.62	Facility		$2,437.48	$2,437.48	$5,668.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,657.49 / $2,661.37 / $5,152.43	Professional		$1,657.49	$2,661.37	$5,152.43