Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,794.95 / $5,157.00 / $11,653.00	Facility		$1,794.95	$5,157.00	$11,653.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,342.89 / $1,524.61 / $2,601.40	Professional		$1,342.89	$1,524.61	$2,601.40
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 $1,209.79 / $1,581.43 / $3,664.36	Professional		$1,209.79	$1,581.43	$3,664.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,063.29 / $2,063.29 / $37,499.62	Facility		$2,063.29	$2,063.29	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,063.29 / $2,063.29 / $2,063.29	Professional		$2,063.29	$2,063.29	$2,063.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,656.40 / $1,656.40 / $1,656.40	Facility		$1,656.40	$1,656.40	$1,656.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,449.05 / $2,224.98 / $5,687.50	Professional		$1,449.05	$2,224.98	$5,687.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,617.00 / $3,888.99	Facility		$332.00	$1,617.00	$3,888.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,590.53 / $2,256.81 / $3,335.89	Professional		$1,590.53	$2,256.81	$3,335.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,365.85 / $1,365.85 / $1,365.85	Facility		$1,365.85	$1,365.85	$1,365.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,185.31 / $1,743.10 / $3,074.88	Professional		$1,185.31	$1,743.10	$3,074.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,656.40	Facility		$555.00	$597.00	$1,656.40
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,510.98 / $2,224.98 / $5,149.72	Professional		$1,510.98	$2,224.98	$5,149.72
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 $1,305.79 / $1,899.31 / $4,821.88	Professional		$1,305.79	$1,899.31	$4,821.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,743.10 / $1,743.10 / $6,551.89	Facility		$1,743.10	$1,743.10	$6,551.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,239.96 / $1,903.45 / $3,684.64	Professional		$1,239.96	$1,903.45	$3,684.64